Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215176581 Individual Practitioner Female Practitioner

Mary T Super , APN

Nurse Practitioner • Oak Lawn, IL

Professional Overview & Biography Verified Profile Summary

Mary Super, APN is a registered healthcare professional specializing in Nurse Practitioner in Oak Lawn, IL. Practice services are available at 4440 W 95TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4440 W 95th St

Oak Lawn, IL 604532600

Telephone 7086848000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Oak Lawn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
93 Specialists

Practicing in Oak Lawn, IL (4929 Statewide)

Telehealth Adoption Rate
15.1% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209004357

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan
203981003 (IL)
Commercial Insurance / Payer ID Group Ptan
203981 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Mandy Enshiwat , MD

Internal Medicine

NPI 1003143231

Doctor of Medicine (M.D.)

Dr. Mihaela Mihailescu , MD

Internal Medicine - Rheumatology

NPI 1003943614

Doctor of Medicine (M.D.)

Margaret Mulvey

Nurse Practitioner

NPI 1013722206
NPI 1023513355

Doctor of Medicine (M.D.)

NPI 1033556832

Doctor of Physical Therapy

Josie Magnabosco

Registered Nurse

NPI 1043183296

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2012

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086848000)

📍
Updated Business Mailing Address July 31, 2012

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086848000)

👤
Provider Name / Credentials Updated July 31, 2012

Recorded as MARY SUPER, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2012

Nurse Practitioner (License #209004357 in IL)

🟢
Initial NPI Registration & Enumeration February 11, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215176581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2009
Last Update: July 31, 2012
Sole Proprietor: No

Mailing Address

4440 W 95th St

Oak Lawn, IL 604532600

Phone: 7086848000

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.