Kris MC Clure, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

041-145837 Issued in IL

Practice address

518 Lucinda Ave
University Health Services, Niu
Dekalb, IL 60115-2828

Phone

(815) 753-1311

Fax

(815) 753-9599

NPI assigned

Feb 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1053384099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LUCINDA AV",
            "address_2": "UNIVERSITY HEALTH SERVICES, NORTHERN ILLINOIS UNIVERS",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "60115",
            "telephone_number": "815-753-1311",
            "fax_number": "815-753-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LUCINDA AVE",
            "address_2": "UNIVERSITY HEALTH SERVICES, NIU",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152828",
            "telephone_number": "815-753-1311",
            "fax_number": "815-753-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC CLURE",
        "first_name": "KRIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209-000603",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "041-145837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Mathey, BA, CRSS
• Christine Alexandra Espe Maxwell, MSED, LCPC, NCC
• Jamie Mayer, PH.D.
• David Mayor, MD
• Marissa Mazur
• Amanda McCarthy, LPC
• Kelly McCarthy
• Margaret McClellan
• Craig R McCloud, CRNA
• Shannon McCullagh, RBT

• Obstetrics & Gynecology Nurse Practitioner in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.