Healthcare Provider Details

I. General information

NPI: 1982611588
Provider Name (Legal Business Name): MARGUERITE BARIGALA CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGUARITE NORWOOD CNP

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1366 W FULLERTON IMPERIAL NURSING AND REHAB
CHICAGO IL
60614
US

IV. Provider business mailing address

902 TAYLOR RIDGE
BELVIDERE IL
61008
US

V. Phone/Fax

Practice location:
  • Phone: 773-248-9300
  • Fax: 773-935-0036
Mailing address:
  • Phone: 815-544-8700
  • Fax: 815-544-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: