Individual provider Active NPI

Elizabeth Jannusch, FNP

  • Family Nurse Practitioner
  • Elk Grove Village, IL
National Provider Identifier
1104295666
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013106 Issued in IL
Practice address
800 Biesterfield Rd
Brock Ste 4011
Elk Grove Village, IL 60007-3361
Phone
(847) 981-3694
Fax
(847) 981-6508
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.013106 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Brock Ste 4011
Elk Grove Village, IL 60007-3361

Mailing address

1860 Payshere Circle
Chicago, IL 60674-0001
Phone (630) 545-6016

Other practice location 1

800 Biesterfield Rd
Brock Ste 4011
Elk Grove Village, IL 60007-3361
Phone (847) 981-3694

Other names 1

  • Miss Elizabeth Ingebrigtsen Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ejannusch288236@direct.myadvocateaurora.org
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
I20151001001678 IL Practitioner - Nurse Practitioner 5890003420 Reassigns benefits to 3 organizations

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
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0872
Phone (888) 220-6432

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.013106ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Jun 1, 2020 Accepting new patients
Infectious Diseases Associates, P.C. CurrentSince Oct 1, 2015 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jun 1, 2020 Accepting new patients
Metro Infectious Disease Consultants, LLC Current Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2017 Accepting new patients

Locations

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 104
Burr Ridge, IL 60527
Phone (630) 986-4580

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

2919 W Addison St
Chicago, IL 60618
Phone (773) 205-4660

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1435 N Randall Rd
Ste 404
Elgin, IL 60123
Phone (847) 741-5091

800 Biesterfield Rd
Ste 4011
Elk Grove Vlg, IL 60007
Phone (847) 981-3694

2359 Hassell Rd
Hoffman Estates, IL 60169
Phone (847) 843-7030

2360 Hassell Rd
Ste F
Hoffman Estates, IL 60169
Phone (847) 843-0806

2500 W Higgins Rd
Ste 505
Hoffman Estates, IL 60169
Phone (224) 236-2268

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1104295666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001",
            "telephone_number": "630-545-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "BROCK STE 4011",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-981-3694",
            "fax_number": "847-981-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Biesterfield Rd",
            "address_2": "Brock Ste 4011",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073361",
            "country_code": "US",
            "telephone_number": "847-981-3694",
            "fax_number": "847-981-6508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANNUSCH",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejannusch288236@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd",
            "address_2": "Brock Ste 4011",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073361",
            "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": "800 Biesterfield Rd",
            "address_2": "Brock Ste 4011",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "INGEBRIGTSEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.