1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Registered Nurse
  6. NPI Profile

MARKETTA MCCOLLOUGH
NPI 1407517121
Registered Nurse - Community Health in Chicago, IL

Active since January 05, 2022
9932 S WESTERN AVE, CHICAGO, IL 60643(312) 868-0004 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Marketta Mccollough NPPES

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

MARKETTA MCCOLLOUGH (NPI 1407517121) is an individual community health provider in Chicago, Illinois, licensed in Illinois (2023-N1952) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1407517121
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMARKETTA MCCOLLOUGH
Location Address9932 S WESTERN AVEChicago, IL 60643-1831
Mailing Address500 Park Ave Apt 627Calumet City, IL 60409-5034 · (773) 656-7427
Phone(312) 868-0004
Sole ProprietorNo
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1407517121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in IL · 2023-N1952
Also ListedRegistered NurseTaxonomy 163W00000X · License 2023-N1952 (IL)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 2023-N1952 (IL)
Also ListedRegistered Nurse · RehabilitationTaxonomy 163WR0400X · License 2023-N1952 (IL)
Also ListedCommunity Health WorkerTaxonomy 172V00000X
9932 S WESTERN AVE, Chicago, IL 60643
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

HUMILITY HEALTH CARE SERVICES LLC
Homemaker
9932 S WESTERN AVE
CHICAGO, IL 60643
Cook County (773) 656-7427

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 Marketta Mccollough's NPI number?

The NPI number for Marketta Mccollough is 1407517121. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Marketta Mccollough located?

Marketta Mccollough practices at 9932 S Western Ave, Chicago, IL 60643. The listed phone number is (312) 868-0004.

What is Marketta Mccollough's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Marketta Mccollough was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.