Individual provider Active NPI

Julie Ann Daniels, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1164060257
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020377 Issued in IL
Practice address
5808 W Eddy St
Chicago, IL 60634-4351
Phone
(312) 623-2303
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020377 IL Primary
Nurse Practitioner 363L00000X 209020377 IL

Addresses

Primary practice location

5808 W Eddy St
Chicago, IL 60634-4351

Mailing address

5808 W Eddy St
Chicago, IL 60634-4351
Phone (312) 623-2303

Other names 1

  • Julie Ann Daniels Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210415002396 IL Practitioner - Nurse Practitioner 4082022892 Reassigns benefits to 5 organizations
I20251021000826 WI Practitioner - Nurse Practitioner 4082022892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Wound Care SCGroup PAC ID 4385185032, 5 clinicians

Practice addresses (Care Compare)

111 E Wisconsin Ave
Suite 1925
Milwaukee, WI 53202-4825
Phone (414) 323-0260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Feb 17, 2023 Accepting new patients
Vpa PC CurrentSince Feb 17, 2023 Accepting new patients
Integrity Medical and Wounds Group Il RLLP Family CurrentSince Sep 1, 2024 Accepting new patients
Mobile Wound Care SC Nurse Practitioner CurrentSince Oct 2, 2025 Accepting new patients
L & Y Group S.C. CurrentSince Aug 2, 2021 Accepting new patients
Advanced Physicians, S.C. CurrentSince Jun 13, 2025 Accepting new patients
Orion Home Health Inc CurrentSince Jul 6, 2025 Accepting new patients

Locations

8770 W Bryn Mawr Ave
Ste 1300
Chicago, IL 60631
Phone (702) 258-7997

16101 Weber Rd
Crest Hill, IL 60403
Phone (815) 306-1100

14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288

5836 Lincoln Ave
Ste 120
Morton Grove, IL 60053
Phone (847) 410-0240

9150 Crawford Ave
Ste 107
Skokie, IL 60076
Phone (847) 329-7799

111 E Wisconsin Ave
Ste 1925
Milwaukee, WI 53202
Phone (414) 323-0260

Organizations & group practices 7

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1164060257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 W EDDY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344351",
            "telephone_number": "312-623-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 W EDDY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344351",
            "telephone_number": "312-623-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020377",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DANIELS",
            "middle_name": "ANN",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.