Individual provider Active NPI

Laura Pierobon

  • Family Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1174162218
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019770 Issued in IL
Practice address
920 W Prairie Dr
Ste J
Sycamore, IL 60178
Phone
(815) 895-3354
Fax
(815) 895-3345
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.019770 IL Primary

Addresses

Primary practice location

920 W Prairie Dr
Ste J
Sycamore, IL 60178

Mailing address

920 W Prairie Dr
Ste J
Sycamore, IL 60178-3123
Phone (815) 766-3649

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610000526 IL Practitioner - Nurse Practitioner 5193146694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Management SCGroup PAC ID 2466427158, 23 clinicians

Practice addresses (Care Compare)

244 E Roosevelt Rd
Lombard, IL 60148-4647
Phone (630) 629-6298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.019770ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management SC CurrentSince Nov 27, 2023 Accepting new patients
Integrated Pain Management SC CurrentSince Nov 27, 2023 Accepting new patients
Logan Multispecialty Clinic S C CurrentSince Apr 6, 2026 Accepting new patients
Premier Medical Management LTD CurrentSince Jan 31, 2021 Accepting new patients
Medworks Joliet Corp CurrentSince Apr 6, 2026 Accepting new patients

Locations

815 Campus Dr
Joliet, IL 60435
Phone (630) 857-6883

244 E Roosevelt Rd
Lombard, IL 60148
Phone (312) 842-4588

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1174162218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W PRAIRIE DR",
            "address_2": "STE J",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783123",
            "telephone_number": "815-766-3649",
            "fax_number": "815-895-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W PRAIRIE DR",
            "address_2": "STE J",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-895-3354",
            "fax_number": "815-895-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEROBON",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.