Provider Demographics
NPI:1154081578
Name:VAN SOELEN, MAGGIE LOUISE (APN)
Entity type:Individual
Prefix:MS
First Name:MAGGIE
Middle Name:LOUISE
Last Name:VAN SOELEN
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:1011 E TOUHY AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-5829
Mailing Address - Country:US
Mailing Address - Phone:708-486-2600
Mailing Address - Fax:708-486-2610
Practice Address - Street 1:12 SALT CREEK LN STE 104
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8606
Practice Address - Country:US
Practice Address - Phone:708-486-2600
Practice Address - Fax:708-486-2610
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209024480363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily