Individual provider Active NPI

Margaret Clemons-Adams, APRN

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1023661980
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
041457241 Issued in IL
Practice address
4318 S State St
Chicago, IL 60609-3701
Phone
(773) 285-9304
NPI assigned
Jul 19, 2019
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 041457241 IL Primary

Addresses

Primary practice location

4318 S State St
Chicago, IL 60609-3701

Mailing address

166 Larch Rd
Frankfort, IL 60423-1540
Phone (517) 812-6012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904002268 IL Practitioner - Nurse Practitioner 9335478171 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041457241ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Mar 14, 2020 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Aug 19, 2019 Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 14, 2020 Accepting new patients
University of Chicago CurrentSince Mar 14, 2020 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

4318 S State St
Chicago, IL 60609
Phone (773) 285-9304

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1023661980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 LARCH RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231540",
            "telephone_number": "517-812-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093701",
            "telephone_number": "773-285-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS-ADAMS",
        "first_name": "MARGARET",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "041457241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.