Active NPI
Maggiolino Medical, S.C.
- Family Medicine Physician
- Northfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Dana Foggetti
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2334549 | Medi-Weightloss | Certificate of waiver | Nov 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Maggiolino Medical SC
- 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.
-
- Family Medicine Physician
- Lake Forest, IL
- NPI 1760175129
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.
-
- Family Medicine Physician
- Lake Forest, IL
- NPI 1760175129
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sheboygan, WI
- NPI 1578593257
-
- Family Nurse Practitioner
- Northfield, IL
- NPI 1912896937
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.