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

Mary Kathleen Cummings

Individual provider Physician Assistant · NPI 1205654563

Mary Kathleen Cummings is a Physician Assistant in Chicago, Illinois. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2024

Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
Show map & directions

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

Additional practice locations (1)

  • 1850 Silver Cross Blvd, New Lenox, IL 60451-9508 — (888) 824-0200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085011855 (IL)

Record details

NPI number1205654563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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