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

Mariel Dayana Miagusko

Individual provider Registered Nurse · NPI 1962184507

Mariel Dayana Miagusko is a Nurse Practitioner in Chicago, Illinois. Qualified in 2009, 17 years ago. Practices with Infant Welfare Society of Chicago, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3600 W Fullerton Ave
Chicago, IL 60647-2319
Phone: (773) 782-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209028135 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041.382820 (IL)

Record details

NPI number1962184507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Infant Welfare Society Of Chicago — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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