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

Individual provider Pediatric Nurse Practitioner · NPI 1568127629

Mary-Katherine Marshall is a Nurse Practitioner in Chicago, Illinois. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Arizona and Illinois.

Years since qualifying
5
Licensed in
AZ, IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

5721 S Maryland Ave
Chicago, IL 60637-1425
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 933-1000

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 209.023794 (IL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 318088 (AZ)

Record details

NPI number1568127629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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