Active NPI
Victorine E. Berry-Gbekou
- Adult Health Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209025479
- Practice address
- 57 Forsyth St NW FL 2
Atlanta, GA 30303-2229 - Phone
- (850) 339-7746
- NPI assigned
- Sep 27, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209025479 | IL | Primary |
Addresses
Primary practice location
57 Forsyth St NW FL 2
Atlanta, GA 30303-2229
Mailing address
655 Longtree Dr
Wheeling, IL 60090-5546
Phone (850) 339-7746
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
- Saint Louis University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3330 Skokie Valley Rd
Suite 200
Highland Park, IL 60035-1041
Phone (847) 386-7744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209025479 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telemedico Physicians SC | Current | Accepting new patients | |
| Perspective Behavioral and Pain Solutions LTD | Current | Accepting new patients | |
| Epic Health L.L.C. Dba Epic Health | Current | Accepting new patients | |
| HDC Care Solutions, LLC | Adult Health | Current | Accepting new patients |
| Telemedico Physicians Pulmonary SC | Past | Accepting new patients |
Locations
332 S Michigan Ave
Fl 4
Chicago, IL 60604
6300 N California Ave
Chicago, IL 60659
Phone (773) 338-4244
7200 N Sheridan Rd
Chicago, IL 60626
Phone (312) 880-0085
6700 N Damen Ave
Chicago, IL 60645
Phone (773) 465-5000
2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277
3330 Skokie Valley Rd
Highland Park, IL 60035
3330 Skokie Valley Rd
Ste 200
Highland Park, IL 60035
Phone 8473867744202
8425 Waukegan Rd
Morton Grove, IL 60053
Phone (847) 929-9690
6601 W Touhy Ave
Niles, IL 60714
Phone (773) 217-0099
1601 N Western Ave
Park Ridge, IL 60068
Phone (773) 960-1163
2313 N Rockton Ave
Rockford, IL 61103
Phone (815) 964-2200
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Highland Park, IL
- NPI 1912368150
-
- Psychologist
- Rosemont, IL
- NPI 1326671702
-
- Home Health Agency
- Buffalo Grove, IL
- NPI 1366316325
-
- Pulmonary Disease Physician
- Highland Park, IL
- NPI 1972115384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1093439622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 LONGTREE DR",
"city": "WHEELING",
"state": "IL",
"postal_code": "600905546",
"telephone_number": "850-339-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 FORSYTH ST NW FL 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303032229",
"telephone_number": "850-339-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY-GBEKOU",
"first_name": "VICTORINE",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209025479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.