Marykathleen A. Heneghan, M.D.
NPI 1639376551ActiveIndividual· Pediatrics, Pediatric Endocrinology· Park Ridge, IL
Pediatrics, Pediatric Endocrinology (M.D.) in Park Ridge, Illinois, licensed in IL and WI, with an NPI issued in July 2007. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1639376551 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 3, 2007 |
| Last updated in NPPES | Jun 27, 2022 |
| Certified by provider | Jun 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Endocrinology Primary | 2080P0205X | 036-116599 | IL |
| Pediatrics, Pediatric Endocrinology | 2080P0205X | 50592 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (IL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics, Pediatric Endocrinology providers in Park Ridge
- 1366519415
- 1780983163
- 1124404819
All Pediatrics, Pediatric Endocrinology providers in Illinois