MAUREEN JULIA DUNAJCIK AGPCNP-BC NPI 1407304728

NPI Information

NPI: 1407304728
Provider Name: MAUREEN JULIA DUNAJCIK, AGPCNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: FAIRVIEW HEIGHTS MEDICAL GROUP SC

PECOS Registration: Yes

Address:
4700 MEMORIAL DR STE 250
BELLEVILLE, IL
ZIP 62226
Phone: (618) 212-6560
Get Directions

Maureen Julia Dunajcik, AGPCNP-BC is a gerontology nurse practitioner in Belleville, IL with 8 years of experience. Maureen Julia Dunajcik, AGPCNP-BC NPI is 1407304728. 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:

4700 MEMORIAL DR STE 250
BELLEVILLE, IL
ZIP 62226-373
Phone: (618) 212-6560

The NPI 1407304728 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 3/12/2021.

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
1	363LG0600X	Nurse Practitioner	Gerontology	209020654	ILLINOIS	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	2005018815	MISSOURI	No

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: 11/14/2023

NPI Synchronization or Removal

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