Provider Demographics
NPI:1982611588
Name:BARIGALA, MARGUERITE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:
Last Name:BARIGALA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MISS
Other - First Name:MARGUARITE
Other - Middle Name:
Other - Last Name:NORWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:902 TAYLOR RIDGE
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008
Mailing Address - Country:US
Mailing Address - Phone:815-544-8700
Mailing Address - Fax:815-544-9966
Practice Address - Street 1:1366 W FULLERTON
Practice Address - Street 2:IMPERIAL NURSING AND REHAB
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:773-248-9300
Practice Address - Fax:773-935-0036
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
K17529Medicare ID - Type Unspecified
Q26664Medicare UPIN