Active NPI
Margaret Mary Wenzelman
- Early Intervention Provider Agency
- Bonfield, IL
National Provider Identifier
1801304183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 4623D N 12000W Rd
Bonfield, IL 60913-7092 - Phone
- (815) 954-4265
- NPI assigned
- Jan 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | IL | Primary |
Addresses
Primary practice location
4623D N 12000W Rd
Bonfield, IL 60913-7092
Mailing address
4623D N 12000W Rd
Bonfield, IL 60913-7092
Phone (815) 954-4265
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516406400000",
"number": "1801304183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623D N 12000W RD",
"city": "BONFIELD",
"state": "IL",
"postal_code": "609137092",
"telephone_number": "815-954-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623D N 12000W RD",
"city": "BONFIELD",
"state": "IL",
"postal_code": "609137092",
"telephone_number": "815-954-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENZELMAN",
"first_name": "MARGARET",
"middle_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-20",
"last_updated": "2018-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.