Catherine M Moroni, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Wheaton, IL
NPI 1104072149 · NPPES record last updated Aug 11, 2008
Key facts
- NPI
- 1104072149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 209004805 (IL)
- Practice address
- 55 E Loop Rd
Suite 301
Wheaton, IL 60189-1938 - Phone
- (630) 690-7300
- Fax
- (630) 690-7335
- NPI assigned
- Aug 11, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209004805 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann & Robert H. Lurie Children'S Hospital of Chicago | Current | Accepting new patients | |
| Wheaton Pediatrics, LTD. | Past | Accepting new patients |
Interoperability endpoints
- cmoroni166410@direct.luriechildrens.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209004805 | IL | Yes |
Addresses
Primary practice location
55 E Loop Rd
Suite 301
Wheaton, IL 60189-1938
Mailing address
55 E Loop Rd
Suite 301
Wheaton, IL 60189-1938
Phone (630) 690-7300
Other providers in Wheaton, IL
- Margarita Morales
- Rachel Morales
- Ruben Morales Jr.
- Juana Moreno
- Lisette Moreno
- Colleen A Morrell
- Aubrey Morris
- Clarissa Von Morris
- Spencer Morris
- Clare Siobhan Morrison
All providers in Wheaton, IL · Pediatric Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.