Active NPI
Enkhtselmeg Ulziibat
- Nurse Practitioner
- Skokie, IL
National Provider Identifier
1093662298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.035021
- Practice address
- 9631 Gross Point Rd # 107
Skokie, IL 60076-1264 - Phone
- (773) 870-5055
- NPI assigned
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.035021 | IL | Primary |
Addresses
Primary practice location
9631 Gross Point Rd # 107
Skokie, IL 60076-1264
Mailing address
460 Highland Ave
Algonquin, IL 60102-3182
Phone (773) 870-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.035021 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1093662298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 HIGHLAND AVE",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601023182",
"telephone_number": "773-870-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9631 GROSS POINT RD # 107",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761264",
"telephone_number": "773-870-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULZIIBAT",
"first_name": "ENKHTSELMEG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.035021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.