Maritta A Penegor
NP-BC | Nurse Practitioner
24 Joliet St, Suite 401, Dyer
Indiana, 46311-1705
219-865-0893
Maritta A Penegor is a Dyer, Indiana based nurse practitioner. Active license number of Maritta A Penegor is 70000040A in Indiana. Her current practice location is 24 Joliet St, Suite 401, Dyer. Patients can reach her at 219-865-0893 or can fax her at 219-865-3599. Maritta A Penegor is NP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1205947983.
Maritta A Penegor 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:
Maritta A Penegor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Maritta A Penegor |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP-BC |
| Practice Address: | 24 Joliet St, Suite 401, Dyer,
Indiana, 46311-1705 |
| Phone: | 219-865-0893 |
| Fax: | 219-865-3599 |
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: | 1205947983 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 27 Sep, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maritta A Penegor are as mentioned below.
| License Number | Specialization | State | Status | |
| 70000040A | | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Maritta A Penegor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| P00150268 | Other | | RAILROAD MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Maritta A Penegor
3615 Park Dr, Suite 203
Olympia Fields, Illinois |
| Zip: | 60461-1186 |
| Phone Number: | 708-748-9800 |
| Fax Number: | 708-748-9807 |
Patients can reach Maritta A Penegor at
24 Joliet St, Suite 401, Dyer, Indiana or can
call to book an appointment on 219-865-0893.
Comments/ Reviews:
Patients can read all the reviews posted for Maritta A Penegor below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Maritta A Penegor. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.