Active NPI
Malgorzata Tolliver
- Nurse Practitioner
- Urbana, IL
National Provider Identifier
1548169824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.036724
- Practice address
- 611 W Park St
Urbana, IL 61801-2529 - Phone
- (217) 383-3311
- NPI assigned
- Nov 3, 2026
- Last updated
- Nov 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.036724 | IL | Primary |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2529
Mailing address
502 N Central St
Tolono, IL 61880-9420
Phone (815) 326-9392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793664000000",
"number": "1548169824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 N CENTRAL ST",
"city": "TOLONO",
"state": "IL",
"postal_code": "618809420",
"telephone_number": "815-326-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-383-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLIVER",
"first_name": "MALGORZATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-11-03",
"last_updated": "2026-11-03",
"certification_date": "2026-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.036724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.