MARY MCKENNA MD
NPI 1760913032
Obstetrics & Gynecology in Park Ridge, IL

Q: What is Mary Mckenna's NPI number?

The NPI number for Mary Mckenna is 1760913032. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Mary Mckenna's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mckenna was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-5986 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2023, Apr 20, 2022, Jun 24, 2021 and 1 more (4 updates tracked since 2017).

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About Mary Mckenna Md NPPES

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

MARY MCKENNA MD (NPI 1760913032) is an individual obstetrics & gynecology provider in Park Ridge, Illinois, licensed in Illinois (036.155532) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760913032

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMARY MCKENNACredential: MD

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address120 Osler Unit 100Naperville, IL 60540-7429 · (630) 428-2229

Phone(847) 723-5986

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2017

Enumeration DateMarch 27, 2017

Last NPPES UpdateDecember 11, 20234 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1760913032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036.155532

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1775 DEMPSTER ST, Park Ridge, IL 60068

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Secondary Practice Locations 2

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-4033

Location 2120 Osler Unit 100Naperville, IL 60540-7429 · Phone (630) 428-2229

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Mckenna Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193098895

PECOS Enrollment IDI20220302001373

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. STACEY K VILIONE PA-C

Physician Assistant (Surgical)