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

Mary Kathleen Walsh, PA-C

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1225677404

Mary Kathleen Walsh, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1611 W Harrison St
Chicago, IL 60612-4861
Phone: (877) 632-6637
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 085007391 (IL)

Record details

NPI number1225677404
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2020
Last updated in NPPESJanuary 5, 2020
Certification dateJanuary 5, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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