Provider Demographics
NPI:1326124355
Name:CHAPMAN, MAUREEN (APN)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 22ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1563
Mailing Address - Country:US
Mailing Address - Phone:630-575-5000
Mailing Address - Fax:
Practice Address - Street 1:25 N WINFIELD RD STE 414
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1379
Practice Address - Country:US
Practice Address - Phone:630-690-1220
Practice Address - Fax:630-690-5323
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209005119363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1616108OtherBLUE SHIELD NUMBER
ILK20972Medicare PIN
ILQ25601Medicare UPIN
IL1616108OtherBLUE SHIELD NUMBER
ILP00321254Medicare ID - Type UnspecifiedRAILROAD
ILCD3741Medicare PIN