Meredith Julia Magulak, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209.015200 Issued in IL

Practice address

3229 W 47TH PL
Chicago, IL 60632-3011

Phone

(773) 254-6044

NPI assigned

Dec 1, 2016

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mmagulak10481@direct.achn.net

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1700329299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 W ARMITAGE AVE",
            "address_2": "APT 2RW",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221069",
            "telephone_number": "248-520-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 W 47TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323011",
            "telephone_number": "773-254-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGULAK",
        "first_name": "MEREDITH",
        "middle_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.015200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Sue Magrane, PSY.D.
• Virgilio M Magsino, M.D.
• Amelyn Cruz Magtanong, ARNP
• Colette Maguire
• J. Gordon Maguire, MD
• Srilakshmi Maguluri
• Shriram Sudarshan Mahabal, MBBS
• Shalynn Nicole Mahady
• Abhimanyu Mahajan, M.D.
• Arushi Prashant Mahajan, MD

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.