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MARY LOU O'KEEFE PA-C
NPI 1417071713
Physician Assistant - Surgical in Evergreen Park, IL

Active since March 19, 2007
2850 W 95TH ST STE 102, EVERGREEN PARK, IL 60805(708) 636-4116(708) 636-5346 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Lou O'keefe Pa-c NPPES

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

MARY LOU O'KEEFE PA-C (NPI 1417071713) is an individual surgical provider in Evergreen Park, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417071713
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARY LOU O'KEEFECredential: PA-C
Location Address2850 W 95TH ST STE 102Evergreen Park, IL 60805-2703
Mailing Address2850 W 95th St Ste 102Evergreen Park, IL 60805-2703 · (708) 636-4116 · Fax (708) 636-5346
Phone(708) 636-4116
Fax(708) 636-5346
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417071713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2850 W 95TH ST STE 102, Evergreen Park, IL 60805
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lou O'keefe's NPI number?

The NPI number for Mary Lou O'keefe is 1417071713. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Mary Lou O'keefe located?

Mary Lou O'keefe practices at 2850 W 95th St Ste 102, Evergreen Park, IL 60805. The listed phone number is (708) 636-4116.

What is Mary Lou O'keefe's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mary Lou O'keefe was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.