Active NPI
Larysa Juriga
- Pediatric Cardiology Physician
- Naperville, IL
National Provider Identifier
1164114807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 209.026358
- Practice address
- 1220 Hobson Rd Ste 232
Naperville, IL 60540-8138 - Phone
- (630) 946-6554
- Fax
- (877) 458-3984
- NPI assigned
- May 22, 2023
- Last updated
- May 22, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 209.026358 | IL | Primary |
Addresses
Primary practice location
1220 Hobson Rd Ste 232
Naperville, IL 60540-8138
Mailing address
219 Nebraska St
Geneva, IL 60134-2823
Phone (217) 276-3757
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.026358 | IL | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Institute of Pediatric Cardiology | Pediatric Cardiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Downers Grove, IL
- NPI 1518032739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1164114807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 NEBRASKA ST",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342823",
"telephone_number": "217-276-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 HOBSON RD STE 232",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605408138",
"telephone_number": "630-946-6554",
"fax_number": "877-458-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURIGA",
"first_name": "LARYSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "IL",
"license": "209.026358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.