Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARA DIVIS, DO
Active Sole ProprietorMARA DIVIS, DO is a Family Medicine healthcare provider located in CHICAGO, Illinois. NPI 1780824037 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CHICAGO, IL
Registration Details
- NPI Number
- 1780824037
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2009 (17.441982777789 yrs)
- Last Updated
- Apr 11, 2025
- Licenses
-
02003631A (IN)58.002346 (OH)036129431 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5501 W FULLERTON AVECHICAGO, IL, 606391368Browse IL providers · Browse ZIP 60639
- Phone
- 7339574007
- Fax
- 7733959608
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| ANDREW M PAVLATOS | MD | 1679576201 |
| KEVIN G MURPHY | MD | 1932102563 |
| ROKEYA BEGUM AKHTAR | MD | 1780687368 |
| JAMES P CLANCY | MD | 1538162102 |
| CHRISTINE L SCHWARTZ PETERSON | MD | 1285637801 |
| MARZENA LIPINSKA | MD | 1487657078 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.