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

Stephanie R Kennedy-Mallum, MSN, APN, FNP-BC

Individual provider Nurse Practitioner · NPI 1356939870

Stephanie R Kennedy-Mallum, MSN, APN, FNP-BC is a Nurse Practitioner in Skokie, Illinois. Qualified in 2020, 6 years ago. Practices with Edward Hospital, a 98-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

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Practice location Address checks out

9977 Woods Dr # 100
Skokie, IL 60077-1057
Phone: (224) 364-2273
Fax: (847) 663-8290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209022352 (IL)

Record details

NPI number1356939870
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APN , FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 10, 2021
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Edward Hospital — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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