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MARY E. MIKELSON DDS
NPI 1477841583
Dentist - General Practice in Chicago, IL

Active since July 11, 2011
3838 W 111TH ST STE 105, CHICAGO, IL 60655(773) 233-6300 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary E. Mikelson Dds NPPES

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

MARY E. MIKELSON DDS (NPI 1477841583) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019019681) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1477841583
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARY E. MIKELSONCredential: DDS
Location Address3838 W 111TH ST STE 105Chicago, IL 60655-4042
Mailing Address3838 W 111th St Ste 105Chicago, IL 60655-4042 · (773) 233-6300
Phone(773) 233-6300
Sole ProprietorNo
Enumeration DateJuly 11, 2011
✔ NPI 1477841583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019019681
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3838 W 111TH ST STE 105, Chicago, IL 60655
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

ROBERT MIKELSON DDS
Dentist (General Practice)
3838 W 111TH ST STE 105
CHICAGO, IL 60655
Cook County (773) 233-6300
MIKELSON & MIKELSON P.C.
Dentist (General Practice)
3838 W 111TH ST STE 105
CHICAGO, IL 60655
Cook County (773) 233-6300

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 Mikelson's NPI number?

The NPI number for Mary Mikelson is 1477841583. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Mary Mikelson located?

Mary Mikelson practices at 3838 W 111th St Ste 105, Chicago, IL 60655. The listed phone number is (773) 233-6300.

What is Mary Mikelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mary Mikelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mary Mikelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Mikelson was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.