Individual provider Active NPI

Amalia Pepek, APN

  • Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1063818813
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209011913 Issued in IL
Practice address
1775 Dempster St RM E592B
Park Ridge, IL 60068-1143
Phone
(847) 723-8080
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.011913 IL
Nurse Practitioner 363L00000X 209011913 IL Primary

Addresses

Primary practice location

1775 Dempster St RM E592B
Park Ridge, IL 60068-1143

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apepek326943@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20160201001696 IL Practitioner - Nurse Practitioner 3678877313 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209011913ILMDNurse Practitioner
209.011913ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake CurrentSince Jan 25, 2016 Accepting new patients
County of Lake Current Accepting new patients
Erie Family Health Center Inc CurrentSince Mar 15, 2022 Accepting new patients
County of Lake CurrentSince Jan 25, 2016 Accepting new patients
Erie Family Health Center, Inc CurrentSince Mar 15, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 20, 2022 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jan 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2022 Accepting new patients
In Home Medical Group LLC Family CurrentSince Nov 12, 2025 Accepting new patients
County of Lake Past Accepting new patients
Community Home Physicians, LLC Family Medicine Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

4801 W Peterson Ave
Ste 506
Chicago, IL 60646
Phone (773) 777-5436

1504 S Albany Ave
Chicago, IL 60623

29373 Network Pl
Chicago, IL 60673

1775 Dempster St
Rm E592B
Park Ridge, IL 60068
Phone (847) 723-8080

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

7520 Blairmore Dr
Rockford, IL 61107
Phone (815) 332-1777

4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500

800 High School Dr
Round Lake, IL 60073
Phone (847) 270-9300

224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

2323 Grand Ave
Waukegan, IL 60085
Phone (847) 666-2427

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1063818813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST RM E592B",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-723-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPEK",
        "first_name": "AMALIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011913",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apepek326943@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1775 Dempster St Rm E592B",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1775 Dempster St Rm E592B",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.