Individual provider Active NPI

Maureen R McCormick, APRN, FNP-BC

  • Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1912923822
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-004550 Issued in IL
Practice address
201 E Ogden Ave Ste 26
Hinsdale, IL 60521-3651
Phone
(630) 323-2455
Fax
(630) 323-2422
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-004550 IL Primary

Addresses

Primary practice location

201 E Ogden Ave Ste 26
Hinsdale, IL 60521-3651

Mailing address

201 E Ogden Ave Ste 26
Hinsdale, IL 60521-3651
Phone (630) 323-2455

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-004550ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrinology Group, S.C. CurrentSince Aug 29, 2021 Accepting new patients
Midwest Endocrine & Diabetes Care LLC PastSince Aug 29, 2021 Accepting new patients

Locations

201 E Ogden Ave
Ste 26
Hinsdale, IL 60521
Phone (630) 323-2455

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1912923822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 26",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213651",
            "telephone_number": "630-323-2455",
            "fax_number": "630-323-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 26",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213651",
            "telephone_number": "630-323-2455",
            "fax_number": "630-323-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MAUREEN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-004550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.