Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY KOTJABALDIRI APN-PMHNP
NPI 1467388710
Nurse Practitioner - Psychiatric/Mental Health in River Forest, IL

Q: What is Mary Kotjabaldiri's NPI number?

The NPI number for Mary Kotjabaldiri is 1467388710. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Q: What is Mary Kotjabaldiri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kotjabaldiri was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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 June 23, 2026

7765 LAKE ST APT 2W, RIVER FOREST, IL 60305(708) 955-6144 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Kotjabaldiri Apn-pmhnp NPPES

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

MARY KOTJABALDIRI APN-PMHNP (NPI 1467388710) is an individual psychiatric/mental health provider in River Forest, Illinois, licensed in Illinois (209035881) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1467388710

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARY KOTJABALDIRICredential: APN-PMHNP

Location Address7765 LAKE ST APT 2WRiver Forest, IL 60305-1732

Mailing Address7765 Lake St Apt 2wRiver Forest, IL 60305-1732 · (708) 955-6144

Phone(708) 955-6144

Sole ProprietorYes

Enumeration DateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1467388710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209035881

7765 LAKE ST APT 2W, River Forest, IL 60305

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kotjabaldiri's NPI number?

The NPI number for Mary Kotjabaldiri is 1467388710. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Mary Kotjabaldiri located?

Mary Kotjabaldiri practices at 7765 Lake St Apt 2W, River Forest, IL 60305. The listed phone number is (708) 955-6144.

What is Mary Kotjabaldiri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mary Kotjabaldiri was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.