Active NPI
Bridge to Care
- Clinic/Center
- Skokie, IL
National Provider Identifier
1104419753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BRIDGE TO CARE
- Practice address
- 3300 Crain St
Skokie, IL 60076-2408 - Phone
- (773) 616-5330
- NPI assigned
- Feb 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Desiree Cunningham, NP
- Title
- Nurse Pracititioner
- Phone
- (773) 616-5330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
3300 Crain St
Skokie, IL 60076-2408
Mailing address
3300 Crain St
Skokie, IL 60076-2408
Phone (773) 616-5330
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Skokie, IL
- NPI 1528504909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635811200000",
"number": "1104419753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 CRAIN ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762408",
"telephone_number": "773-616-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CRAIN ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762408",
"telephone_number": "773-616-5330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE TO CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "DESIREE",
"authorized_official_title_or_position": "NURSE PRACITITIONER",
"authorized_official_telephone_number": "773-616-5330",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.