Healthcare Provider Details

I. General information

NPI: 1730284316
Provider Name (Legal Business Name): MARY FRANCES MACMARTIN RN, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5TH AVE AND ROOSEVELT ROAD
HINES IL
60141-5000
US

IV. Provider business mailing address

1906 ARTHUR AVE
BERKELEY IL
60163-1501
US

V. Phone/Fax

Practice location:
  • Phone: 708-202-8387
  • Fax: 708-202-2085
Mailing address:
  • Phone: 708-202-8387
  • Fax: 708-202-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: