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

Mary Kotjabaldiri, APN-PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1467388710

Mary Kotjabaldiri, APN-PMHNP is a Psychiatric/Mental Health Nurse Practitioner in River Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

7765 Lake St Apt 2W
River Forest, IL 60305-1732
Phone: (708) 955-6144
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209035881 (IL)

Record details

NPI number1467388710
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-PMHNP
Sole proprietorYes
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026