MRS. MARY J WALLIN L.P.N
NPI 1639408503
Licensed Practical Nurse in Effingham, IL
NPI Status: Active since December 23, 2009
Contact Information
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
Phone: (217) 342-4151
Fax: (217) 342-4190
- Individual
- Female
- Licensed Practical Nurse
About MARY WALLIN
This page provides the complete NPI Profile along with additional information for Mary Wallin, a provider established in Effingham, Illinois with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1639408503 assigned on December 2009. The practitioner's primary taxonomy code is 164W00000X with license number 043051122 (IL). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1639408503
- Provider Name
- MRS. MARY J WALLIN L.P.N
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 N MAPLE ST EFFINGHAM, IL 62401
- Location Phone
- (217) 342-4151
- Location Fax
- (217) 342-4190
- Mailing Address
- P.O. BOX 1268 300 NORTH MAPLE STREET EFFINGHAM, IL 62401
- Mailing Phone
- (217) 342-4151
- Mailing Fax
- (217) 342-4190
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-23-2009
- Last Update Date
- 12-23-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 043051122
- License State
- IL
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 043051122 | OTHER (01) | IL | LICENSE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 4 | 0 | 8 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 0 | 16 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 0 + 1 + 6 + 5 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1639408503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CHERYL A BEAM NP
Nurse Practitioner
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
KARLA A HARDIEK R.N.
Registered Nurse
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
DEBRA J HARRIS N.P.
Nurse Practitioner
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
SPRINGFIELD CLINIC LLP
Clinical Medical Laboratory
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
MARSHALL CLINIC EFFINGHAM, S.C.
Family Medicine
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
SPRINGFIELD CLINIC LLP
Clinic/Center
(Rural Health)
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
DR. JENNIFER C MANEJA MD
Internal Medicine
(Geriatric Medicine)
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
TINA M ROZENE M.D.
Pediatrics
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
JASON J MCALLASTER D.O.
Surgery
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
LANA D SCHMIDT M.D.
Dermatology
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
LISA A KOWALSKI M.D.
Surgery
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
DAVID J KOWALSKI M.D.
Internal Medicine
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
VICKIE SUE BUSHUR FNP-BC
Nurse Practitioner
(Family)
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
MRS. DARA G DIEL R.N.
Registered Nurse
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
KRISTINA M. SCHNEPPER FNP-C
Nurse Practitioner
(Family)
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
HOPE E KNAUER M.D.
Family Medicine
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
MARGO S MCMAHON FNP-BC
Nurse Practitioner
(Family)
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
MR. THOMAS WAYNE MOLL LCSW
Social Worker
(Clinical)
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
STEPHANIE FLIER MHP
Social Worker
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639408503, enumerated as an "individual" on December 23, 2009.
The provider is located at 300 N MAPLE ST EFFINGHAM, IL 62401 and the phone number is (217) 342-4151.
Licensed Practical Nurse with taxonomy code 164W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
