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MARIAELENA J. FAGADORE CNP
NPI 1861490138
Nurse Practitioner - Pediatrics in Chicago, IL

Active since July 12, 2005
4254 W 55TH ST, CHICAGO, IL 60632(773) 582-5200(773) 582-2772 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariaelena J. Fagadore Cnp NPPES

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

MARIAELENA J. FAGADORE CNP (NPI 1861490138) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209-015320) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1861490138
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARIAELENA J. FAGADORECredential: CNP
Location Address4254 W 55TH STChicago, IL 60632-4642
Mailing Address4254 W 55th StChicago, IL 60632-4642 · (773) 582-5200 · Fax (773) 582-2772
Phone(773) 582-5200
Fax(773) 582-2772
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateApril 11, 2017
✔ NPI 1861490138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IL · 209-015320✔ Licensed in FL · 9244538
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License R45506 (NM)
4254 W 55TH ST, Chicago, IL 60632
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Other Identifiers 2

Medicaid307963500FL
Medicaid92187315NM

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.

MR. THOMAS E. GRUDOWSKI RPH
Pharmacist
4254 W 55TH ST
CHICAGO, IL 60632
Cook County (773) 582-2660
MIDWAY FOOT AND ANKLE PC
Podiatrist (Foot & Ankle Surgery)
4254 W 55TH ST
CHICAGO, IL 60632
Cook County (773) 582-8900
MANUEL O ROJAS MD
Pediatrics
4254 W 55TH ST
CHICAGO, IL 60632
Cook County (773) 582-5200
MIDWAY PEDIATRICS LLC
Pediatrics
4254 W 55TH ST
CHICAGO, IL 60632
Cook County (773) 582-5200
MANUEL O ROJAS
Clinic/Center (Primary Care)
4254 W 55TH ST
CHICAGO, IL 60632
Cook County (773) 582-5200
MIDWAY PEDIATRICS LLC
Nurse Practitioner (Pediatrics)
4254 W 55TH ST
CHICAGO, IL 60632
Cook County (773) 358-2520
LAUREN MEYERS CPNP
Nurse Practitioner (Pediatrics)
4254 W 55TH ST
CHICAGO, IL 60632
Cook County (773) 582-5200
MARY GRASSO
Nurse Practitioner (Pediatrics)
4254 W 55TH ST
CHICAGO, IL 60632
Cook County (773) 582-5200

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 Mariaelena Fagadore's NPI number?

The NPI number for Mariaelena Fagadore is 1861490138. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Mariaelena Fagadore located?

Mariaelena Fagadore practices at 4254 W 55th St, Chicago, IL 60632. The listed phone number is (773) 582-5200.

What is Mariaelena Fagadore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mariaelena Fagadore was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.