Provider Demographics
NPI:1992097430
Name:PARTYKA, MARY BETH (ANP RN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:BETH
Last Name:PARTYKA
Suffix:
Gender:F
Credentials:ANP RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9401 S PULASKI RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-1924
Mailing Address - Country:US
Mailing Address - Phone:708-425-6225
Mailing Address - Fax:708-425-3456
Practice Address - Street 1:9401 S PULASKI RD
Practice Address - Street 2:SUITE 203
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-1924
Practice Address - Country:US
Practice Address - Phone:708-425-6225
Practice Address - Fax:708-425-3456
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2022-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209.008572363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health