Individual provider Active NPI

Markie Meminger

  • Women's Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1114280187
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209.009490 Issued in IL
Practice address
233 E Superior St
Chicago, IL 60611-2913
Phone
(312) 472-1234
NPI assigned
Jun 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209.009490 IL
Women's Health Nurse Practitioner 363LW0102X 209.009490 IL Primary

Addresses

Primary practice location

233 E Superior St
Chicago, IL 60611-2913

Mailing address

233 E Superior St
Chicago, IL 60611-2913
Phone (312) 472-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160908001995 IL Practitioner - Nurse Practitioner 9739475278 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.009490ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 2, 2016 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 2, 2016 Accepting new patients
Midwest Center for Women'S Health Care, LTD. CurrentSince Aug 24, 2023 Accepting new patients
Karen L. Jaffe Psy.D. LTD Past Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

Dept 5777
Carol Stream, IL 60122

30 N Michigan Ave
Ste 607
Chicago, IL 60602
Phone (312) 263-1780

30 N Michigan Ave
Ste 300
Chicago, IL 60602
Phone (312) 558-6481

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

233 E Superior St
Chicago, IL 60611
Phone (312) 472-0573

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1114280187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112913",
            "telephone_number": "312-472-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112913",
            "telephone_number": "312-472-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMINGER",
        "first_name": "MARKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.009490",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.009490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.