Madeline Meidl
Individual provider Active NPI Registered Nurse · Marengo, IL
NPI 1992231369 · NPPES record last updated May 4, 2017
Key facts
- NPI
- 1992231369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041403950 (IL)
- Practice address
- 3117 Elizabeth St
Marengo, IL 60152-9658 - Phone
- (815) 276-7215
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041403950 | IL | MD | Registered Nurse |
| 19918530 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041403950 | IL | Yes |
| Registered Nurse | 163W00000X | 19918530 | WI |
Addresses
Primary practice location
3117 Elizabeth St
Marengo, IL 60152-9658
Mailing address
3117 Elizabeth St
Marengo, IL 60152-9658
Phone (815) 276-7215
Other providers in Marengo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.