MARITTA A PENEGOR NP-BC
NPI 1205947983
Nurse Practitioner in Dyer, IN

Active since August 31, 2006
24 JOLIET ST, SUITE 401, DYER, IN 46311(219) 865-0893(219) 865-3599 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maritta A Penegor Np-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARITTA A PENEGOR NP-BC (NPI 1205947983) is an individual nurse practitioner in Dyer, Indiana, licensed in Indiana (70000040A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1205947983
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARITTA A PENEGORCredential: NP-BC
Location Address24 JOLIET ST, SUITE 401Dyer, IN 46311-1705
Mailing Address3615 Park Dr, Suite 203Olympia Fields, IL 60461-1186 · (708) 748-9800 · Fax (708) 748-9807
Fax(219) 865-3599
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 27, 2007
NPI 1205947983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 70000040A
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

24 JOLIET ST, Dyer, IN 46311

Other Identifiers 4

OtherP00150268Railroad Medicare
Medicare UPINP60833
Medicare PIN406310QIN
Medicare PINK08552IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
24 JOLIET ST, STE101
DYER, IN 46311
Emergency Medicine
24 JOLIET ST
DYER, IN 46311
Social Worker (Clinical)
24 JOLIET ST
DYER, IN 46311
Surgery
24 JOLIET ST, UNIT 302
DYER, IN 46311
Psychiatry & Neurology (Psychiatry)
24 JOLIET ST
DYER, IN 46311
Internal Medicine
24 JOLIET ST
DYER, IN 46311
Surgery
24 JOLIET ST, STE 101
DYER, IN 46311
Social Worker (Clinical)
24 JOLIET ST
DYER, IN 46311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maritta Penegor's NPI number?

The NPI number for Maritta Penegor is 1205947983. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Maritta Penegor located?

Maritta Penegor practices at 24 Joliet St Suite 401, Dyer, IN 46311. The listed phone number is (219) 865-0893.

What is Maritta Penegor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Maritta Penegor was last updated on September 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.