MARITTA A PENEGOR CFNP
NPI 1790976231
Nurse Practitioner in Olympia Fields, IL

Active since August 08, 2007
3800 W 203RD ST, OLYMPIA FIELDS, IL 60461(708) 747-0461(708) 747-0607 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maritta A Penegor Cfnp NPPES

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

MARITTA A PENEGOR CFNP (NPI 1790976231) is a healthcare organization registered as a nurse practitioner in Olympia Fields, Illinois and active in the NPI registry since August 2007. The organization lists Deborah J Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790976231
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMIDWEST PHYSICIAN GROUP LTD
Location Address3800 W 203RD STOlympia Fields, IL 60461-1184
Mailing Address20110 Governors HwyOlympia Fields, IL 60461-1030 · (708) 747-7960 · Fax (708) 503-3993
Fax(708) 747-0607
Organization SubpartYes
Authorized OfficialDeborah J NelsonCeo · (708) 747-7960
Enumeration DateAugust 8, 2007
Last NPPES UpdateAugust 9, 2007
NPI 1790976231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
3800 W 203RD ST, Olympia Fields, IL 60461

Other Names 1

Other NameMaritta A Penegor Cfnp

Other Identifiers 1

Medicare PIN204683IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Acute Care)
3800 W 203RD ST, SUITE 204
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Family)
3800 W 203RD ST
OLYMPIA FIELDS, IL 60461
Internal Medicine (Infectious Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, SUITE 204
OLYMPIA FIELDS, IL 60461
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, STE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, STE 202
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Family)
3800 W 203RD ST
OLYMPIA FIELDS, IL 60461

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 Midwest Physician Group Ltd's NPI number?

The NPI number for Midwest Physician Group Ltd is 1790976231. It was assigned to this organization in the NPPES registry on August 8, 2007. The provider is also known as Maritta A Penegor Cfnp.

Where is Midwest Physician Group Ltd located?

Midwest Physician Group Ltd is located at 3800 W 203rd St, Olympia Fields, IL 60461. The listed phone number is (708) 747-0461.

What is Midwest Physician Group Ltd'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 Midwest Physician Group Ltd was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.