DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. MARY KATHERINE PENDLETON APRN

MEDICARE: MS. MARY KATHERINE PENDLETON 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
1363LA2200XAdult Health Nurse Practitioner209014306IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1209014306OTHERILLICENSE

General Provider Information

NPI Number : 1194788992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY KATHERINE PENDLETON APRN
Provider Business Mailing Address
First Line : PO BOX 462
Second Line :
City : OREGON
State : IL
Zip : 61061-0462
Country : US
Telephone Number : 815-732-2499
Fax Number : 815-732-6077
Provider Business Practice Location Address
First Line : 1658 S IL ROUTE 2
Second Line :
City : OREGON
State : IL
Zip : 61061-9514
Country : US
Telephone Number : 815-732-2499
Fax Number : 815-732-6077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 03/24/2025

Similar Medicare Providers

1184661100 — SERENITY HOSPICE AND HOME
Practice Location Address:
1658 S IL ROUTE 2
OREGON, IL
61061-9514
Practice Phone: 815-732-2499
Practice Fax: 815-732-6077
1740216001 — MRS. JULIETTE A KALWEIT SCHMELING M.D.
Practice Location Address:
1658 S IL ROUTE 2
OREGON, IL
61061-9514
Practice Phone: 815-732-2499
Practice Fax: 815-732-6077
1750935052 — MARGARET ANN WHITE APRN
Practice Location Address:
1658 S IL ROUTE 2
OREGON, IL
61061-9514
Practice Phone: 815-732-2499
Practice Fax: 815-732-6077
1023655750 — TRACY MICHELLE JACOBS
Practice Location Address:
1658 S IL ROUTE 2
OREGON, IL
61061-9514
Practice Phone: 815-732-2499
Practice Fax: 815-732-6077
1689305823 — RAISSA BAXTER LCSW
Practice Location Address:
1658 S IL ROUTE 2
OREGON, IL
61061-9514
Practice Phone: 815-732-2499
Practice Fax: 815-732-6077
1316621824 — KACEY FRANCES CAIN RN
Practice Location Address:
1658 S IL ROUTE 2
OREGON, IL
61061-9514
Practice Phone: 815-732-2499
Practice Fax:

Directions to “ MS. MARY KATHERINE PENDLETON APRN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.