Active NPI
Lesia Kanus, ANP
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1124326822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 041-190456
- Practice address
- 840 S. Wood St. University of Illinois Medical Center
Suite 440
Chicago, IL 60612 - Phone
- (312) 996-7704
- Fax
- (312) 413-8283
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 041-190456 | IL | Primary |
Addresses
Primary practice location
840 S. Wood St. University of Illinois Medical Center
Suite 440
Chicago, IL 60612
Mailing address
840 S. Wood St.
Suite 440
Chicago, IL 60612
Phone (312) 996-7704
Other names 1
- Lisa Kanus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-190456 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1124326822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S. WOOD ST.",
"address_2": "SUITE 440",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-7704",
"fax_number": "312-413-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 S. WOOD ST. UNIVERSITY OF ILLINOIS MEDICAL CENTER",
"address_2": "SUITE 440",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-7704",
"fax_number": "312-413-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANUS",
"first_name": "LESIA",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "041-190456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "KANUS",
"credential": "ANP",
"code": "2",
"type": "Professional Name"
}
]
}
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 Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.