MARY PABST
NPI 1386308534
Nurse Practitioner in Evergreen Park, IL

Q: What is Mary Pabst's NPI number?

The NPI number for Mary Pabst is 1386308534. It was assigned to this individual provider in the NPPES registry on October 25, 2021. The provider is also known as Mary Phillipp.

Q: What is Mary Pabst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Pabst was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2021

3545 W 95TH ST, EVERGREEN PARK, IL 60805(708) 435-9036 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Pabst NPPES

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

MARY PABST (NPI 1386308534) is an individual nurse practitioner in Evergreen Park, Illinois, licensed in Illinois (209.023213) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1386308534

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY PABST

Location Address3545 W 95TH STEvergreen Park, IL 60805-2135

Mailing Address416 7th AveLa Grange, IL 60525-6410 · (708) 369-1481

Phone(708) 435-9036

Sole ProprietorNo

Enumeration DateOctober 25, 2021

NPPES CertifiedOctober 25, 2021

✔ NPI 1386308534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.023213

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3545 W 95TH ST, Evergreen Park, IL 60805

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Other Names 1

Former Name (1)Mary Phillipp

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.

DR. THOMAS BUMP M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)