Organization Active NPI

Maggiolino Medical, S.C.

  • Family Medicine Physician
  • Northfield, IL
National Provider Identifier
1477400265
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAGGIOLINO MEDICAL, S.C.
Practice address
436 W Frontage Rd Ste 102
Northfield, IL 60093-3036
Phone
(847) 449-8634
NPI assigned
Mar 12, 2026
Organization subpart
Yes
Parent organization
MAGGIOLINO MEDICAL, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Dr. Mary Dana FoggettiNPI 1578593257
Title
Owner
Phone
(630) 514-9297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

436 W Frontage Rd Ste 102
Northfield, IL 60093-3036

Mailing address

282 Kimberly LN
Lake Forest, IL 60045-3890
Phone (630) 514-9297

Other names 1

  • Medi-Weightloss Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2334549Medi-Weightloss436 Frontage Rd - Ste 102, Northfield, IL 60093Certificate of waiverNov 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Maggiolino Medical SC2 organizations share this tax ID, including this one
Part of
Maggiolino Medical SC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

436 W Frontage Rd
Ste 102
Northfield, IL 60093
Phone (847) 449-8634

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1477400265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 KIMBERLY LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453890",
            "telephone_number": "630-514-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W FRONTAGE RD STE 102",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933036",
            "telephone_number": "847-449-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIOLINO MEDICAL, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGGIOLINO MEDICAL, S.C.",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "FOGGETTI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-514-9297",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.