Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARISA ANNE DICKER FNP
NPI 1063369775
Nurse Practitioner - Family in Chicago, IL

Active since March 12, 2026
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2026, Mar 12, 2026 (2 updates tracked since 2026).

About Marisa Anne Dicker Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA ANNE DICKER FNP (NPI 1063369775) is an individual family provider in Chicago, Illinois, licensed in Illinois (209033535) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1063369775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISA ANNE DICKERCredential: FNP
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Sole ProprietorNo
Enumeration DateMarch 12, 2026
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1063369775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209033535
5841 S MARYLAND AVE, Chicago, IL 60637

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Surgery
5841 S MARYLAND AVE, MC 5031
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Obstetrics & Gynecology (Reproductive Endocrinology)
5841 S MARYLAND AVE, MC2050
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE, MC 5068
CHICAGO, IL 60637
Dietitian, Registered
5841 S MARYLAND AVE, MC 0988
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Dietitian, Registered
5841 S MARYLAND AVE, MC 3051
CHICAGO, IL 60637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063369775, enumerated as an "individual" on March 12, 2026.

The provider is located at 5841 S MARYLAND AVE CHICAGO, IL 60637 and the phone number is (888) 824-0200.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.