MARY GRASSO
NPI 1437748852
Nurse Practitioner - Pediatrics in Chicago, IL

Q: What is Mary Grasso's NPI number?

The NPI number for Mary Grasso is 1437748852. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Q: What is Mary Grasso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Grasso was last updated on January 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 11, 2021

4254 W 55TH ST, CHICAGO, IL 60632(773) 582-5200 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mary Grasso NPPES

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

MARY GRASSO (NPI 1437748852) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209022601) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1437748852

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARY GRASSO

Location Address4254 W 55TH STChicago, IL 60632-4642

Mailing Address840 N Spring AveLa Grange Park, IL 60526-1475 · (708) 525-4065

Phone(773) 582-5200

Sole ProprietorNo

Enumeration DateJanuary 11, 2021

NPPES CertifiedNovember 21, 2020

✔ NPI 1437748852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IL · 209022601

4254 W 55TH ST, Chicago, IL 60632

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Other Providers at the Same Location NPPES 15

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

MR. THOMAS E. GRUDOWSKI RPH

Pharmacist