Dianne N Traeger

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

T62617457621 Issued in IL

Practice address

8016 So. Il. Route 23
Marengo, IL 60152

Phone

(815) 451-9865

Fax

(815) 568-7397

NPI assigned

Jan 31, 2021

Last updated

Jan 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1184215345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 SO. IL. ROUTE 23",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "60152",
            "telephone_number": "815-451-9865",
            "fax_number": "815-568-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 SO. IL. ROUTE 23",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "60152",
            "telephone_number": "815-451-9865",
            "fax_number": "815-568-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAEGER",
        "first_name": "DIANNE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "T62617457621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dawn Patricia Turner
• Indu Yogesh Vaidya, MD
• Amy While
• Willow of Marengo, Inc (Florence Nursing Home)
• Willowglen Academy (Broadstep Academy-Illinois Inc)

• Non-emergency Medical Transport (VAN) in Marengo, IL
• Providers in Marengo, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.