ANNA MARIA MELLGREN NP NPI 1043317381

NPI Information

  • NPI: 1043317381
  • Provider Name: ANNA MARIA MELLGREN, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 840 S WOOD ST STE 435E
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 355-1493

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NPI Details

Anna Maria Mellgren, NP is an adult health nurse practitioner in Chicago, IL. Anna Maria Mellgren, NP NPI is 1043317381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

840 S WOOD ST STE 435E
CHICAGO, IL
ZIP 60612
Phone: (312) 355-1493

The NPI 1043317381 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health209.010893ILLINOISYes
2363LA2200XNurse PractitionerAdult HealthR1640333MINNESOTANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209.010893MEDICAIDILLINOIS
2470067000MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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