Individual provider Active NPI

Melanie Joy Tadalan, FNP

  • Family Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1487357695
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021243 Issued in IL
Practice address
2601 Compass Rd Ste 140
Glenview, IL 60026-8088
Phone
(847) 503-0007
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209021243 IL Primary

Addresses

Primary practice location

2601 Compass Rd Ste 140
Glenview, IL 60026-8088

Mailing address

5331 N Nashville Ave
Chicago, IL 60656-2206
Phone (630) 276-9621

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405002332 IL Practitioner - Nurse Practitioner 7618342676 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209021243ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of Illinois, LLC CurrentSince Mar 27, 2023 Accepting new patients

Locations

2601 Compass Rd
Ste 140
Glenview, IL 60026
Phone (224) 803-2292

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1487357695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 N NASHVILLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562206",
            "telephone_number": "630-276-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD STE 140",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268088",
            "telephone_number": "847-503-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADALAN",
        "first_name": "MELANIE",
        "middle_name": "JOY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.