Individual provider Active NPI

Emilie McLain, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1104462563
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209.020110 Issued in IL
Practice address
1763 Freedom Dr Ste 117
Naperville, IL 60563-3553
Phone
(630) 687-9595
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209.020110 IL Primary

Addresses

Primary practice location

1763 Freedom Dr Ste 117
Naperville, IL 60563-3553

Mailing address

1763 Freedom Dr Ste 117
Naperville, IL 60563-3553

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
I20221019003314 IL Practitioner - Nurse Practitioner 5799151528 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymenopauserx Gynecology Group PLLC CurrentSince Sep 12, 2022 Accepting new patients
Mymenopauserx Medical Group Current Accepting new patients

Locations

1604 N Main St
Wheaton, IL 60187
Phone (630) 260-1818

1604 N Main St
#A
Wheaton, IL 60187
Phone (630) 480-0428

1604 N Main St
#B
Wheaton, IL 60187

1N131 County Farm Rd
Winfield, IL 60190
Phone (630) 682-3871

Organizations & group practices 2

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1104462563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 FREEDOM DR STE 117",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 FREEDOM DR STE 117",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633553",
            "telephone_number": "630-687-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "EMILIE",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.020110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.