Active NPI
Claire Marie Okkema
- Physician Assistant
- Glenview, IL
National Provider Identifier
1023635687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085008036
- Practice address
- 2050 Pfingsten Rd Ste 128
Glenview, IL 60026-1324 - Phone
- (847) 570-1700
- Fax
- (847) 657-1937
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 085008036 | IL | Primary |
Addresses
Primary practice location
2050 Pfingsten Rd Ste 128
Glenview, IL 60026-1324
Mailing address
2050 Pfingsten Rd Ste 128
Glenview, IL 60026-1324
Phone (847) 570-1700
Other practice location 1
5012 S US Highway 75
Denison, TX 75020-4587
Phone (903) 416-6490
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | claire.okkema@valpo.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085008036 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texomacare | Physician Assistant | Past | Accepting new patients |
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Endeavor Health Highland Park Hospital
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1023635687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 PFINGSTEN RD STE 128",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261324",
"telephone_number": "847-570-1700",
"fax_number": "847-657-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 PFINGSTEN RD STE 128",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261324",
"telephone_number": "847-570-1700",
"fax_number": "847-657-1937"
}
],
"practiceLocations": [
{
"address_1": "5012 S US Highway 75",
"address_purpose": "LOCATION",
"city": "Denison",
"state": "TX",
"postal_code": "750204587",
"country_code": "US",
"telephone_number": "903-416-6490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKKEMA",
"first_name": "CLAIRE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085008036",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "claire.okkema@valpo.edu",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "802 LaPorte Ave",
"city": "Valparaiso",
"state": "IN",
"country_code": "US",
"postal_code": "463835860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.