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AMANDA MULCRONE M.D.
NPI 1699125823
Pediatrics - Pediatric Emergency Medicine in Park Ridge, IL

Active since June 19, 2016PECOS Enrolled
1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-5150(847) 723-2083 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2022, Nov 20, 2019, Jun 19, 2016 (3 updates tracked since 2016).

About Amanda Mulcrone M.d. NPPES

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

AMANDA MULCRONE M.D. (NPI 1699125823) is an individual pediatric emergency medicine provider in Park Ridge, Illinois, licensed in Illinois (036161011) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1699125823
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameAMANDA MULCRONECredential: M.D.
Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 723-5150
Fax(847) 723-2083
Sole ProprietorYes
Enumeration DateJune 19, 2016
Last NPPES UpdateOctober 21, 20223 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1699125823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in IL · 036161011✔ Licensed in TX · S0750
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 2016018512 (MO)
1775 DEMPSTER ST, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Location 1

Location 16621 Fannin StHouston, TX 77030-2358 · Phone (832) 824-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Mulcrone M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

WILLIAM D. DWYER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1775 DEMPSTER ST, LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT
PARK RIDGE, IL 60068
Cook County (847) 723-2210
DR. HENRY H. MANGURTEN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1775 DEMPSTER ST, DEPARTMENT OF PEDIATRICS-2 SOUTH BUILDING
PARK RIDGE, IL 60068
Cook County (847) 723-6973
DR. RAGHBIR SINGH BENAWRA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-5313
DR. BHAGYA LAKSHMI PUPPALA MD
Pediatrics (Neonatal-Perinatal Medicine)
1775 DEMPSTER ST, 2 SOUTH
PARK RIDGE, IL 60068
Cook County (847) 723-5313
DOUGLAS ALAN PROPP MD
Emergency Medicine
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-5150
LUTHERAN GENERAL HOSPITAL
Internal Medicine (Cardiovascular Disease)
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
DR. KRIS NARASIMHAN M.D.,
Emergency Medicine
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-3024
DR. ERIC JEFFREY GREENGLASS MD
Pediatrics (Neonatal-Perinatal Medicine)
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-5313

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 Amanda Mulcrone's NPI number?

The NPI number for Amanda Mulcrone is 1699125823. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Where is Amanda Mulcrone located?

Amanda Mulcrone practices at 1775 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-5150.

What is Amanda Mulcrone's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Amanda Mulcrone enrolled in Medicare?

Yes. Amanda Mulcrone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Mulcrone was last updated on October 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.