MARY DRISCOLL (NPI# 1871103291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871103291 |
| Entity Type | Individual |
| Full Name | MARY DRISCOLL |
| Practice Address |
800 Austin St Ste 207 Evanston IL 60202-3442 |
| Practice Telephone | 7733262244 |
| Mailing Telephone | 7733262244 |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.021480 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6300 N Lincoln Ave, Chicago, IL 606591204 | 7732675111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538123880 | Mary S Driscoll | Psychologist | 1701 Ne 42nd Ave, Suite 102, Ocala, FL 34470-5018 | 2006-04-13 |
| 1275131898 | Mary Lynn Driscoll | Pharmacist | 2600 Hwy 138, Stoughton, WI 53589 | 2020-10-15 |
| 1346618006 | Mary Driscoll | Occupational Therapist | 2 Coolidge St, Hudson, MA 01749-1321 | 2015-09-10 |
| 1942520986 | Mary A Driscoll | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2010-06-01 |
| 1891997805 | Mary Josephine Driscoll | Community/Behavioral Health | 3550 Se Woodward St, Portland, OR 97202-1552 | 2007-06-01 |
| 1073633145 | Mary Driscoll | Marriage & Family Therapist | 14277 Road 28, Madera, CA 93638-5715 | 2007-03-30 |
| 1083658215 | Mary Teresa Driscoll | Nurse Anesthetist, Certified Registered | 1201 Broad Rock Blvd, Richmond, VA 23249 | 2006-06-16 |
| Street Address |
800 AUSTIN ST STE 207 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013566892 | Reba Elizabeth Mathew | Nurse Practitioner | 500 Asbury Ave # 316-3320, Evanston, IL 60202-2724 | 2019-09-05 |
| 1952768210 | Jacqueline Christie | Nurse Practitioner | 215d Dodge Ave, Evanston, IL 60202-3669 | 2016-01-18 |
| 1962873075 | Laura E Hilb | Nurse Practitioner | 2121 Dewey Ave, Evanston, IL 60201-3057 | 2015-10-14 |
| 1871982876 | Mirela Shuleva | Nurse Practitioner | 2221 Central St Apt 3e, Evanston, IL 60201-5750 | 2015-01-13 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1720303993 | Olatokunbo Olorunfemi | Nurse Practitioner | 3333 Central Street, Evanston, IL 60201-1150 | 2010-03-31 |
| 1598868689 | Mary Elizabeth Coffeen-carley | Nurse Practitioner | 831 St. Highway, 150 South, Wyoming State Hospital, Evanston, WY 82931 | 2006-09-06 |
| 1982614723 | Kimberly S Larson | Nurse Practitioner | 170 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-08-08 |
| 1013916519 | Evanston Clinic Corp | Nurse Practitioner | 196 Arrowhead Dr Ste 8, Evanston, WY 82930-8752 | 2005-07-18 |
| 1518579739 | Rizwana Patel | Nurse Practitioner | 800 Austin St, Evanston, IL 60202-3439 | 2020-08-19 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.