Individual provider Active NPI

Karen Marie McGreal, RN

  • Registered Nurse
  • Homer Glen, IL
National Provider Identifier
1447921887
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.292432 Issued in IL
Practice address
12600 Renaissance Cir
Homer Glen, IL 60491-5891
Phone
(708) 301-0800
Fax
(708) 645-0803
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041292432 IL
Registered Nurse 163W00000X 041.292432 IL Primary

Addresses

Primary practice location

12600 Renaissance Cir
Homer Glen, IL 60491-5891

Mailing address

12600 Renaissance Cir
Homer Glen, IL 60491-5891
Phone (708) 301-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.292432ILMDRegistered Nurse
041292432ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1447921887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 RENAISSANCE CIR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915891",
            "telephone_number": "708-301-0800",
            "fax_number": "708-645-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 RENAISSANCE CIR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915891",
            "telephone_number": "708-301-0800",
            "fax_number": "708-645-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREAL",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041292432",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.292432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.