Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marie R Carcellar, CNP

Individual provider Nurse Practitioner · NPI 1659656486

Marie R Carcellar, CNP is a Nurse Practitioner in LA Grange, Illinois. Qualified in 2010, 16 years ago. Practices with Midwest Professional Medical Care Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2011
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

5101 S Willow Springs Rd
LA Grange, IL 60525-7009
Phone: (708) 245-4073
Fax: (708) 245-5614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209008874 (IL)

Record details

NPI number1659656486
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESFebruary 14, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Midwest Professional Medical Care Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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