Individual provider Active NPI

Maureen Elizabeth Hendron, M.D.

  • Internal Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1487836078
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-063052 Issued in IL
Practice address
800 Biesterfield Rd
Ste 3003
Elk Grove Village, IL 60007-3364
Phone
(847) 981-5542
Fax
(847) 891-5593
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-063052 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Ste 3003
Elk Grove Village, IL 60007-3364

Mailing address

800 Biesterfield Rd
Ste 3003
Elk Grove Village, IL 60007-3364
Phone (847) 981-5542

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110624000599 IL Practitioner - Internal Medicine 1850579616 Practice locations: Elk Grove Village, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-063052ILMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1487836078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "STE 3003",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073364",
            "telephone_number": "847-981-5542",
            "fax_number": "847-981-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "STE 3003",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073364",
            "telephone_number": "847-981-5542",
            "fax_number": "847-891-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRON",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-063052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.