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NPI Code Detail

MEDICARE: MAUREEN MCLACHLAN APRN

MEDICARE: MAUREEN MCLACHLAN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered Nurse041406164IL
2363LF0000XFamily Nurse Practitioner209.022015IL

General Provider Information

NPI Number : 1740607332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN MCLACHLAN APRN
Provider Business Mailing Address
First Line : 4800 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-3226
Country : US
Telephone Number : 773-826-9600
Fax Number : 773-826-9601
Provider Business Practice Location Address
First Line : 4800 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-3226
Country : US
Telephone Number : 773-826-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2014
Last Update Date : 06/02/2021

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