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NPI Code Detail

MEDICARE: MARY M DRISCOLL APRN, CNP

MEDICARE:   MARY M DRISCOLL  APRN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner209021480IL
2363LF0000XFamily Nurse Practitioner209.021480IL

General Provider Information

NPI Number : 1871103291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY M DRISCOLL APRN, CNP
Provider Business Mailing Address
First Line : 2701 PATRIOT BLVD
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8039
Country : US
Telephone Number : 847-534-3278
Fax Number : 847-998-9720
Provider Business Practice Location Address
First Line : 2701 PATRIOT BLVD
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8039
Country : US
Telephone Number : 847-534-3278
Fax Number : 847-998-9720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2020
Last Update Date : 01/15/2026

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Directions to “ MARY M DRISCOLL APRN, CNP” Practice Location

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