Healthcare Provider Details

I. General information

NPI: 1427971274
Provider Name (Legal Business Name): JANE ELLEN MEULINK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 JANES AVE STE 300
WOODRIDGE IL
60517-2304
US

IV. Provider business mailing address

927 E NORTH ST
LOCKPORT IL
60441-2744
US

V. Phone/Fax

Practice location:
  • Phone: 630-981-8031
  • Fax: 630-981-8001
Mailing address:
  • Phone: 630-606-1488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041204859
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: