Active NPI
Mary M Kronenburger, APN, FNP
- Nurse Practitioner
- Wheeling, IL
National Provider Identifier
1609978865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209004703
- Practice address
- 5150 Capitol Dr
Wheeling, IL 60090-7900 - Phone
- (847) 215-9977
- Fax
- (847) 215-9376
- NPI assigned
- Sep 1, 2006
- 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 | 209004703 | IL | Primary |
Addresses
Primary practice location
5150 Capitol Dr
Wheeling, IL 60090-7900
Mailing address
355 E. Erie St
Chicago, IL 60611
Phone (312) 238-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1609978865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 E. ERIE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-238-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 CAPITOL DR",
"city": "WHEELING",
"state": "IL",
"postal_code": "600907900",
"telephone_number": "847-215-9977",
"fax_number": "847-215-9376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONENBURGER",
"first_name": "MARY",
"middle_name": "M",
"credential": "APN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209004703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.