Maria Grace Diamanre, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

041.267787 Issued in IL

Practice address

10141 Wehrman PL Apt C
Schiller Park, IL 60176-2059

Phone

(773) 599-7039

NPI assigned

May 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1790045573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 WEHRMAN PL APT C",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762059",
            "telephone_number": "773-599-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 WEHRMAN PL APT C",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762059",
            "telephone_number": "773-599-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANRE",
        "first_name": "MARIA",
        "middle_name": "GRACE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "IL",
            "license": "041.267787",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "IL",
            "license": "041.267787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "041.267787",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Registered Nurse in Schiller Park, IL
• Providers in Schiller Park, IL by specialty
• Infusion Therapy Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.