NPI 1700406832 · live from the CMS NPI Registry
Mary Kathryn Dierks, MD
Anesthesiology in Chicago, IL. National Provider Identifier 1700406832, active.
NPI record
| NPI | 1700406832 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 5841 S Maryland Ave, Chicago, IL 60637 |
| Practice phone | 888-824-0200 |
| Mailing address | 150 Harvester Dr Ste 300, Burr Ridge, IL 60527 |
| Enumerated | April 18, 2020 |
| Last updated | August 20, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 04-49536 (KS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Anesthesiology primary | 207L00000X | 036175786 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.