Eileen Magill

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209007067 Issued in IL

Practice address

400 N Highland Ave
Aurora, IL 60506-3814

Phone

(630) 892-4355

Fax

(630) 892-2832

NPI assigned

Jun 23, 2008

Last updated

Apr 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• N W Pediatric Center Inc P S

  • Pediatrics Physician
  • Chehalis, WA
  • NPI 1477789956
  NPD (past)
• N W Pediatric Center Inc P S

  dba Northwest Pediatric Center

  • Pediatrics Physician
  • Centralia, WA
  • NPI 1518034180
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1447411483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 W NORTH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601605",
            "telephone_number": "708-681-2298",
            "fax_number": "708-681-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063814",
            "telephone_number": "630-892-4355",
            "fax_number": "630-892-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209007067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "209007067",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin Macias
• Brent D Mack, PT
• Hailey Jean Mackenthun, PA-C
• Chitra Srinivasan Madhavan, M.D
• Tiffany Madsen
• Nicole Mahan, LCPC
• Gitanjali Mahanti
• Tom Maher
• Mohammed Asif Mahkri, M.D.
• Mustafa Ali Mahmood

• Pediatric Nurse Practitioner in Aurora, IL
• Providers in Aurora, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.