Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639408503 Individual Practitioner Female Practitioner

Mary J Wallin , LPN

Licensed Practical Nurse • Effingham, IL

Professional Overview & Biography Verified Profile Summary

Mary Wallin, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Effingham, IL. Practice services are available at 300 N MAPLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 N Maple St

Effingham, IL 624012003

Telephone 2173424151
Fax 2173424190
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Effingham, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Effingham, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043051122

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
043051122 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Vickie Bushur , FNP-BC

Nurse Practitioner - Family

NPI 1184710402

Family Nurse Practitioner (Board Certified)

Dr. Jennifer Maneja , MD

Internal Medicine

NPI 1194775064

Doctor of Medicine (M.D.)

Kathleen Weber , FNP-BC

Nurse Practitioner - Family

NPI 1215376983

Family Nurse Practitioner (Board Certified)

NPI 1245260082

Doctor of Medicine (M.D.)

NPI 1295766772

Doctor of Medicine (M.D.)

NPI 1306874466

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2009

Registered at 300 N MAPLE ST, EFFINGHAM, IL 624012003 (Tel: 2173424151)

📍
Updated Business Mailing Address December 23, 2009

Registered at P.O. BOX 1268, 300 NORTH MAPLE STREET, EFFINGHAM, IL 62401 (Tel: 2173424151)

👤
Provider Name / Credentials Updated December 23, 2009

Recorded as MARY WALLIN, L.P.N

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2009

Licensed Practical Nurse (License #043051122 in IL)

🟢
Initial NPI Registration & Enumeration December 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639408503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2009
Last Update: December 23, 2009
Sole Proprietor: No

Mailing Address

P.o. Box 1268, 300 North Maple Street

Effingham, IL 62401

Phone: 2173424151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.