Active NPI
Erica Dent
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209023333
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (773) 702-1000
- NPI assigned
- Jun 22, 2021
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 041340283 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209023333 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
1847 Canal St Apt 2C
Blue Island, IL 60406-3554
Phone (708) 466-9123
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17960 Halsted St
Homewood, IL 60430-2014
Phone (708) 922-0911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041340283 | IL | MD | General Practice Registered Nurse |
| 209023333 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicagoland Infectious Disease PC | Current | Accepting new patients | |
| Foundation for Outreach Services | Current | Accepting new patients | |
| Pilsen Medical Clinic & Associates, LLC | Current | Accepting new patients |
Locations
6307 S Stewart Ave
Chicago, IL 60621
Phone (773) 776-8800
326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900
4415 Harrison St
Ste 247
Hillside, IL 60162
Phone (312) 738-3355
17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100
430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757
Interoperability endpoints
- erica.dent.1@17656.direct.athenahealth.com
- https://api.platform.athenahealth.com/17656/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Infectious Disease Physician
- South Holland, IL
- NPI 1780002352
-
- Family Medicine Physician
- Chicago, IL
- NPI 1316350242
-
- Family Medicine Physician
- Elmhurst, IL
- NPI 1790039725
-
- Family Medicine Physician
- Homewood, IL
- NPI 1215407812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1053980334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 CANAL ST APT 2C",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604063554",
"telephone_number": "708-466-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-702-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IL",
"license": "041340283",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209023333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.