Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750205423 Individual Practitioner Female Practitioner

Mary Katherine Wilson , PA-C

Physician Assistant • Hazel Crest, IL

Professional Overview & Biography Verified Profile Summary

Mary Wilson, PA-C is a registered healthcare professional specializing in Physician Assistant in Hazel Crest, IL. Practice services are available at 17800 KEDZIE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17800 Kedzie Ave

Hazel Crest, IL 604292029

Telephone 7082134200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hazel Crest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Hazel Crest, IL (4958 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.012146

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Dr. Ginger Clinton , MD

Emergency Medicine

NPI 1003220336

Doctor of Medicine (M.D.)

Kyriaki Keenan , PA-C

Physician Assistant

NPI 1043932403

Physician Assistant (Certified)

Dr. Lindy Triebes , MD

Emergency Medicine

NPI 1053725374

Doctor of Medicine (M.D.)

NPI 1053898130

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Kevin Tom , DO

Emergency Medicine

NPI 1053990895

Doctor of Osteopathic Medicine (D.O.)

Naila O'connell

Nurse Practitioner

NPI 1114453768

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 06, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2026

Registered at 17800 KEDZIE AVE, HAZEL CREST, IL 604292029 (Tel: 7082134200)

📍
Updated Business Mailing Address August 06, 2026

Registered at 17800 KEDZIE AVE, HAZEL CREST, IL 604292029 (Tel: 7082134200)

👤
Provider Name / Credentials Updated August 06, 2026

Recorded as MARY WILSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2026

Physician Assistant (License #085.012146 in IL)

🟢
Initial NPI Registration & Enumeration August 06, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mary Wilson. Be the first to share your experience!

Sign in to leave a review for Mary Wilson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1750205423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2026
Last Update: August 06, 2026
Sole Proprietor: No

Mailing Address

17800 Kedzie Ave

Hazel Crest, IL 604292029

Phone: 7082134200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.