Active NPI
Nancy Lynn Kuntz, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 36-124466
- Practice address
- 225 E Chicago Ave # 51
Chicago, IL 60611-2991 - Phone
- (312) 227-3550
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 36-124466 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave # 51
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave # 51
Chicago, IL 60611-2991
Phone (312) 227-3550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056523700 | Medicaid | MN |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Boston University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-6415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-124466 | IL | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Lurie Children'S Medical Group Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients | |
| Lurie Children'S Medical Group, LLC | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
Claims Remittance
Carol Stream, IL 60122
446 E Ontario St
Ste 7100
Chicago, IL 60611
Phone (312) 926-8058
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
2515 N Clark St
#8
Chicago, IL 60614
225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415
225 E Chicago Ave
#51
Chicago, IL 60611
Phone (312) 227-3540
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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1518064716
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Pediatrics Physician
- Chicago, IL
- NPI 1992758544
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1114999125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 51",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 51",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZ",
"first_name": "NANCY",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "IL",
"license": "36-124466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056523700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.