Individual provider Active NPI

Cynthia Ann Oneill, APRN

  • Nurse Practitioner
  • Tinley Park, IL
National Provider Identifier
1043876683
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.018922 Issued in IL
Practice address
6850 Centennial Dr
Tinley Park, IL 60477-1653
Phone
(708) 429-3455
Fax
(708) 429-3422
NPI assigned
May 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.018922 IL Primary

Addresses

Primary practice location

6850 Centennial Dr
Tinley Park, IL 60477-1653

Mailing address

PO Box 96
Tinley Park, IL 60477-0096
Phone (708) 429-3455

Other names 1

  • Cynthia Ahern Former name

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
I20190606000578 IL Practitioner - Nurse Practitioner 6103159108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Hand Center SCGroup PAC ID 4284764440, 6 clinicians

Practice addresses (Care Compare)

19801 Governors Hwy
Suite 160
Flossmoor, IL 60422-4363
Phone (708) 957-0505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.018922ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Hand Center, SC CurrentSince May 17, 2024 Accepting new patients
Premier Orthopaedic and Hand Center, SC CurrentSince May 17, 2024 Accepting new patients
Daniel T Weber MD SC CurrentSince Mar 12, 2024 Accepting new patients

Locations

19801 Governors Hwy
Ste 160
Flossmoor, IL 60422
Phone (708) 478-8889

6850 Centennial Dr
Tinley Park, IL 60477
Phone (708) 429-3455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJFCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJFCDD/Endpoint/FJFCDD

Organizations & group practices 3

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 5

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": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1043876683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770096",
            "telephone_number": "708-429-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 CENTENNIAL DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771653",
            "telephone_number": "708-429-3455",
            "fax_number": "708-429-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.018922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "AHERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.