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

Mary Rose Mabbagu, APN-CNP

Individual provider Family Nurse Practitioner · NPI 1790422780

Mary Rose Mabbagu, APN-CNP is a Nurse Practitioner in Skokie, Illinois. Qualified in 2022, 4 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9933 Woods Dr
Skokie, IL 60077-1049
Phone: (847) 663-8060
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209026004 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.026004 (IL)

Record details

NPI number1790422780
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorYes
NPI enumeratedMay 19, 2022
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Skokie