Provider Demographics
NPI:1255547063
Name:SWEENEY, MARY KATE (RN)
Entity type:Individual
Prefix:MRS
First Name:MARY KATE
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:MARY KATE
Other - Middle Name:
Other - Last Name:MOHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5151 N EAST RIVER RD
Mailing Address - Street 2:UNIT 133E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-2881
Mailing Address - Country:US
Mailing Address - Phone:773-349-4323
Mailing Address - Fax:
Practice Address - Street 1:1775 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1143
Practice Address - Country:US
Practice Address - Phone:847-723-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology