MAUREEN JULIA DUNAJCIK


Address: 4700 Memorial Dr Ste 250, Belleville, IL 62226-5373
Phone: 6182126560

MAUREEN JULIA DUNAJCIK (NPI# 1407304728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407304728
Entity Type Individual
Full Name MAUREEN JULIA DUNAJCIK
Credential AGPCNP-BC
Practice Address 4700 Memorial Dr Ste 250
Belleville
IL 62226-5373
Practice Telephone 6182126560
Mailing Telephone 6182126560
Enumeration Date 2016-09-15
Last Update Date 2020-05-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
209020654 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
2005018815 MO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5000 Cedar Plaza Pkwy, Suite 350, Saint Louis, MO 631283854 3148434333 3148420772

Office Location

Street Address 4700 MEMORIAL DR STE 250
City BELLEVILLE
State IL
Zip Code 62226-5373

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1760857585 Mvp Transportation Non-emergency Medical Transport (VAN) 1229 N 17th Street, Number 23, Belleville, IL 62226 2015-12-04
1275952566 Aisha Danyale Franklin Internal Medicine 4261 Woodfield Pl, Belleville, IL 62226 2014-04-15
1396168332 Jayne E. Ninness Physical Therapy Assistant 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 2014-01-28
1053758193 Gateway Foundation, Inc. Clinic/Center 1 Bronze Point, Suite 1, Swansea, IL 62226 2013-05-30
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City BELLEVILLE
Zip Code 62226

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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