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

Q: 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.

Q: What is Maritta Penegor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maritta Penegor was last updated on September 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(219) 865-0893

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

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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.

FRED ANTHONY LEPORE JR.

Emergency Medicine

24 JOLIET ST
DYER, IN 46311

Lake County (708) 895-9385

FRANCISCAN PHYSICIANS HOSPITAL, LLC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

24 JOLIET ST, SUITE 101
DYER, IN 46311

Lake County (219) 864-2059

GAIL LYNN NORTON-HALE LMFT,LCSW

Social Worker (Clinical)

24 JOLIET ST
DYER, IN 46311

Lake County (219) 322-5747

DR. BRIAN P JULA PSYD

Psychologist (Clinical)

24 JOLIET ST
DYER, IN 46311

Lake County (219) 322-5747

JEANNIE BORAM UR MD

Hospitalist

24 JOLIET ST
DYER, IN 46311

Lake County (219) 852-1524

CHRISTOPHER FRANCIS SHAHZAAD M.D.

Psychiatry & Neurology (Psychiatry)

24 JOLIET ST
DYER, IN 46311

Lake County (219) 322-5747

ESHWAR NAGRAJ MURTHY

Hospitalist

24 JOLIET ST
DYER, IN 46311

Lake County (219) 852-1524

KYSE OSSAMA ZORUB

Student in an Organized Health Care Education/Training Program

24 JOLIET ST
DYER, IN 46311

Lake County (708) 307-5098

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.