Active NPI
Geriatric Care NP Associates
- Adult Health Nurse Practitioner
- Bannockburn, IL
National Provider Identifier
1104515121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- GERIATRIC CARE NP ASSOCIATES
- Practice address
- 2515 Waukegan Rd
PMB 10002
Bannockburn, IL 60015 - Phone
- (847) 655-5040
- Fax
- (484) 218-4920
- NPI assigned
- May 4, 2023
- Last updated
- May 4, 2023
- 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
- Brittany Lynn Tobin, NP
- Title
- Owner
- Phone
- (847) 655-5040
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NU | Primary |
Addresses
Primary practice location
2515 Waukegan Rd
PMB 10002
Bannockburn, IL 60015
Mailing address
2515 Waukegan Rd
PMB 10002
Bannockburn, IL 60015
Phone (847) 655-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL, WI
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
2515 Waukegan Rd
Bannockburn, IL 60015
Phone (847) 275-5933
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1104515121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 WAUKEGAN RD",
"address_2": "PMB 10002",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "60015",
"telephone_number": "847-655-5040",
"fax_number": "484-218-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 WAUKEGAN RD",
"address_2": "PMB 10002",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "60015",
"telephone_number": "847-655-5040",
"fax_number": "484-218-4920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC CARE NP ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "TOBIN",
"authorized_official_first_name": "BRITTANY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-655-5040",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bannockburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.