Dr. Mary Mennella Nordin, MD
Anesthesiology in Downers Grove, IL. Individual provider (NPI-1).
NPI number1821150749
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1821150749
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Mennella Nordin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036-065488 | IL | Yes |
Other names
- Mary Mennella (Former Name)
Practice location
3811 Highland AveDowners Grove, IL 60515-1555
Phone 630-852-9300 · Fax 630-852-7773
Mailing address
3811 Highland AveDowners Grove, IL 60515-1555
Phone 630-852-9300 · Fax 630-852-7773
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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