Mariaelena J. Fagadore
CNP | Nurse Practitioner
4254 W 55th St, Chicago
Illinois, 60632-4642
773-582-5200
Mariaelena J. Fagadore is a Chicago, Illinois based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Mariaelena J. Fagadore is 209-015320 for Pediatrics in Illinois. Her current practice location is 4254 W 55th St, Chicago. Patients can reach her at 773-582-5200 or can fax her at 773-582-2772. Mariaelena J. Fagadore is CNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1861490138.
Mariaelena J. Fagadore has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mariaelena J. Fagadore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mariaelena J. Fagadore |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CNP |
| Practice Address: | 4254 W 55th St, Chicago,
Illinois, 60632-4642 |
| Phone: | 773-582-5200 |
| Fax: | 773-582-2772 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1861490138 |
| NPI Enumeration Date: | 12 Jul, 2005 |
| NPI Last Update On: | 11 Apr, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mariaelena J. Fagadore are as mentioned below.
| License Number | Specialization | State | Status | |
| 209-015320 | Pediatrics | Illinois | Primary | |
| R45506 | Registered Nurse | New Mexico | Secondary | |
| 9244538 | Pediatrics | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mariaelena J. Fagadore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 307963500 | Medicaid | Florida | |
| 92187315 | Medicaid | New Mexico | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mariaelena J. Fagadore
4254 W 55th St,
Chicago, Illinois |
| Zip: | 60632-4642 |
| Phone Number: | 773-582-5200 |
| Fax Number: | 773-582-2772 |
Patients can reach Mariaelena J. Fagadore at
4254 W 55th St, Chicago, Illinois or can
call to book an appointment on 773-582-5200.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.