Organization Active NPI

Abby E McMahon FNP PC

  • General Acute Care Hospital
  • Wauconda, IL
National Provider Identifier
1831346659
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
209.007185 Issued in IL
Legal business name
ABBY E MCMAHON FNP PC
Practice address
2870 Glacier Way Unit D
Wauconda, IL 60084-5062
Phone
(847) 293-9070
NPI assigned
Aug 22, 2008
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Abby Elizabeth McMahon, FNP-BC
Title
Family Nurse Practitioner
Phone
(847) 293-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 209.007185 IL Primary

Addresses

Primary practice location

2870 Glacier Way Unit D
Wauconda, IL 60084-5062

Mailing address

2870 Glacier Way Unit D
Wauconda, IL 60084-5062
Phone (847) 293-9070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1831346659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 GLACIER WAY UNIT D",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600845062",
            "telephone_number": "847-293-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 GLACIER WAY UNIT D",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600845062",
            "telephone_number": "847-293-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBY E MCMAHON FNP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "847-293-9070",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "209.007185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.