Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mara B Stephenson, DO

Individual provider Vascular & Interventional Radiology Physician · NPI 1093080103

Dr. Mara B Stephenson, DO is a Diagnostic Radiology in Park Ridge, Illinois. Qualified in 2012, 14 years ago. Practices with Illinois Diagnostic and Interventional Radiology PLLC, a 116-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1420 Renaissance Dr Ste 307
Park Ridge, IL 60068-1343
Phone: (847) 803-1000
Fax: (847) 803-1098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036137792 (IL)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 036137792 (IL)

Record details

NPI number1093080103
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2012
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address1420 Renaissance Dr Ste 307, Park Ridge, IL 60068-1343

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Illinois Diagnostic And Interventional Radiology Pllc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Park Ridge