Individual provider Active NPI

Marla C. Krueger, CNM

  • Nurse Practitioner
  • Wheaton, IL
National Provider Identifier
1407855919
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209000624 Issued in IL
Practice address
1800 N Main St
Wheaton, IL 60187-3112
Phone
(630) 653-4240
Fax
(630) 315-6557
NPI assigned
Jul 18, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209000624 IL Primary
Advanced Practice Midwife 367A00000X 209000624 IL

Addresses

Primary practice location

1800 N Main St
Wheaton, IL 60187-3112

Mailing address

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 653-4240

Other practice location 1

28375 Davis Pkwy Ste 901
Warrenville, IL 60555-3030
Phone (630) 653-4240

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000773 IL Practitioner - Certified Nurse Midwife (CNM) 2567555014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

351 Delnor Dr
Suite 207
Geneva, IL 60134-4234
Phone (331) 732-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Oct 15, 2014 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 15, 2014 Accepting new patients
Jeffrey D Postlewaite,Dosc Past Accepting new patients
Janeta Dimante M.D.S.C. Past Accepting new patients

Locations

2635 Church Rd
Ste 203
Aurora, IL 60502

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

25 N 3rd St
Ste 150
Geneva, IL 60134

302 Randall Rd
Ste 305
Geneva, IL 60134
Phone (630) 262-2751

351 Delnor Dr
Ste 204
Geneva, IL 60134
Phone (630) 208-0784

636 Raymond Dr
Ste 303
Naperville, IL 60563
Phone (630) 357-6540

28375 Davis Pkwy
Ste 901
Warrenville, IL 60555

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

1800 N Main St
Ste 100
Wheaton, IL 60187

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1407855919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873112",
            "telephone_number": "630-653-4240",
            "fax_number": "630-315-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873112",
            "telephone_number": "630-653-4240",
            "fax_number": "630-315-6557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28375 Davis Pkwy Ste 901",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605553030",
            "country_code": "US",
            "telephone_number": "630-653-4240",
            "fax_number": "630-315-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "MARLA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209000624",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209000624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.