Marjorie Delachina Mallari, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041274031 Issued in IL

Practice address

3845 McCoy Dr Ste 103
Aurora, IL 60504-4429

Phone

(630) 236-8800

Fax

(630) 236-8802

NPI assigned

Jun 23, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resilience Home Health, LLC

  • Home Health Agency
  • Aurora, IL
  • NPI 1912107517
  NPD

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710407309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 MCCOY DR STE 103",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044429",
            "telephone_number": "630-236-8800",
            "fax_number": "630-236-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 MCCOY DR STE 103",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044429",
            "telephone_number": "630-236-8800",
            "fax_number": "630-236-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "MARJORIE",
        "middle_name": "DELACHINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041274031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251E00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Malecki Jr.
• Fatima Sohail Malik
• Nida Malik, OD
• Sunil Kumar Malkani, M.D.
• John Michael Mallard, DVM
• Sandra Malone
• Deirdre Malouf, DO
• James Robert Mamminga, DDS
• Lara Mamminga, SLP
• Anne Rowena Manalang, FNP

• Registered Nurse in Aurora, IL
• Providers in Aurora, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.