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

Mary Elizabeth Waterloo

Individual provider Nurse Practitioner · NPI 1720634827

Mary Elizabeth Waterloo is a Nurse Practitioner in Homewood, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

17901 Governors Hwy Ste 206
Homewood, IL 60430-1146
Phone: (708) 960-4280
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209019819 (IL)

Record details

NPI number1720634827
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

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