Active NPI
Adrienne Louise Macwalters, R.N.
- Registered Nurse
- Hanover Park, IL
National Provider Identifier
1003138959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041-233626
- Practice address
- 4073 Bayside Dr
Hanover Park, IL 60133-6073 - Phone
- (630) 483-1517
- NPI assigned
- Feb 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-233626 | IL | Primary |
Addresses
Primary practice location
4073 Bayside Dr
Hanover Park, IL 60133-6073
Mailing address
4073 Bayside Dr
Hanover Park, IL 60133-6073
Phone (630) 483-1517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-233626 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1003138959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4073 BAYSIDE DR",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601336073",
"telephone_number": "630-483-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4073 BAYSIDE DR",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601336073",
"telephone_number": "630-483-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACWALTERS",
"first_name": "ADRIENNE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-233626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.