Ese Adiman

Key facts

NPI

1104520865

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

209026843 (IL)

Practice address

20180 S la Grange Rd
Frankfort, IL 60423-3153

Phone

(779) 333-7965

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Osf Multi-Specialty Group Internal Medicine Physician · Peoria, IL · NPI 1922445527
  Medicare reassignment Care Compare group NPD IL
• Emerge Medstaffing LLC Family Medicine Physician · Frankfort, IL · NPI 1467177311
  Medicare reassignment NPD IL
• Emerge Medstaffing LLC Emergency Medicine Physician · Chicago Heights, IL · NPI 1780167841
  NPD
• Central PA Pharmacy LLC. Community/Retail Pharmacy · Patton, PA · NPI 1578541413
  NPD

Hospital & facility affiliations 1

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

• Osf Healthcare System General Acute Care Hospital · Evergreen Park, IL · NPI 1215572045
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osf Multi-Specialty Group (2,123 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Little Company of Mary Medical Center Hospital · Evergreen Park, IL · CCN 140179

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 18, 2023.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1104520865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HIGHPOINT DR APT 204",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464904",
            "telephone_number": "708-654-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 S LA GRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233153",
            "telephone_number": "779-333-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIMAN",
        "first_name": "ESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026843",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209026843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Frankfort, IL · Family Nurse Practitioner in Illinois