Koren Mauch, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

041306039 Issued in IL

Practice address

718 S Locust St
Sycamore, IL 60178-2227

Phone

(815) 899-8223

NPI assigned

May 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1497377865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 FRANTUM RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601788909",
            "telephone_number": "815-501-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S LOCUST ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782227",
            "telephone_number": "815-899-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Republic Ave",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601788880",
            "country_code": "US",
            "telephone_number": "815-899-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUCH",
        "first_name": "KOREN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IL",
            "license": "041306039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Martawibawa
• Megan Jean Martin, FNP
• Katie Chirstine Martinez, DT
• David Mathern, PA
• James Michael Matheu, DO
• Heather Lynn Maulson-Breuer, D.M.D
• Helen Jean Maurer, MSW
• Nicole Maxwell
• MC Risk Assessment Consulting
• Madelena Lucinda McClure, M.S., CCC-SLP, L

• School Registered Nurse in Sycamore, IL
• Providers in Sycamore, IL by specialty
• School Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.