1457650285 NPI number — MRS. MARIAN CATALANO FNP-BC

Table of content: MRS. MARIAN CATALANO FNP-BC (NPI 1457650285)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457650285 NPI number — MRS. MARIAN CATALANO FNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CATALANO
Provider First Name:
MARIAN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
YELLO
Provider Other First Name:
MARIAN
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP-BC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1457650285
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1675 DEMPSTER ST # Y3-254
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARK RIDGE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60068-1110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-723-7700
Provider Business Mailing Address Fax Number:
847-723-9418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1675 DEMPSTER ST # Y3-254
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARK RIDGE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60068-1110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-723-7700
Provider Business Practice Location Address Fax Number:
847-723-9418
Provider Enumeration Date:
03/18/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  209008000 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 206008000 . This is a "STATE OF ILLINOIS" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".