Individual provider Active NPI

Sydney Ain, RN, AGACNP

  • Acute Care Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1043062268
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209.029455 Issued in IL
Practice address
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone
(773) 292-8200
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 209.029455 IL Primary

Addresses

Primary practice location

1044 N Francisco Ave
Chicago, IL 60622-2743

Mailing address

3706 N Lakewood Ave Apt 3
Chicago, IL 60613
Phone (316) 613-1756

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
I20240528000215 IL Practitioner - Nurse Practitioner 6608218391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shifa Nephrology Associates LLCGroup PAC ID 6305028390, 13 clinicians

Practice addresses (Care Compare)

1540 W Chicago Ave
Chicago, IL 60642-5236
Phone (773) 423-6400

6316 N Lincoln Ave
Suite 200
Chicago, IL 60659-1204
Phone (773) 423-6400

Hospital & facility affiliations

  • Humboldt Park Health Hospital, Chicago, IL, CCN 140206
  • Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.029455ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shifa Nephrology Associates LLC Single Specialty CurrentSince May 8, 2024 Accepting new patients

Locations

1544 W Chicago Ave
Chicago, IL 60642
Phone (312) 432-1707

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

6316 N Lincoln Ave
#200
Chicago, IL 60659
Phone (773) 423-6400

1945 W Wilson Ave
Ste 5110
Chicago, IL 60640
Phone (773) 878-6600

1044 N Mozart St
Chicago, IL 60622
Phone (773) 292-8247

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1043062268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 N LAKEWOOD AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "316-613-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-292-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIN",
        "first_name": "SYDNEY",
        "credential": "RN, AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209.029455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.