Active NPI
Aimee P Clark, MS, APRN, CNM
- Advanced Practice Midwife
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 680 N Lake Shore Dr Ste 815
Chicago, IL 60611-4449 - Phone
- (312) 926-8811
- Fax
- (312) 926-8855
- NPI assigned
- Dec 14, 2011
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr Ste 815
Chicago, IL 60611-4449
Mailing address
680 N Lake Shore Dr Ste 815
Chicago, IL 60611-4449
Phone (312) 926-8811
Other practice location 1
1820 W Farwell Ave
Chicago, IL 60626
Phone (312) 533-0038
Other practice location 2
1820 W Farwell Ave
Chicago, IL 60626
Phone (312) 533-0038
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
680 N Lake Shore Dr
Suite 810
Chicago, IL 60611-8700
Phone (312) 926-6146
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Northwestern Memorial Physicians Group | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 810
Chicago, IL 60611
Phone (312) 926-8811
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
680 N Lake Shore Dr
Ste 815
Chicago, IL 60611
Phone (312) 926-6338
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1538111299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1184993552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 815",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114449",
"telephone_number": "312-926-8811",
"fax_number": "312-926-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 815",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114449",
"telephone_number": "312-926-8811",
"fax_number": "312-926-8855"
}
],
"practiceLocations": [
{
"address_1": "1820 W Farwell Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60626",
"country_code": "US",
"telephone_number": "312-533-0038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1820 W Farwell Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60626",
"country_code": "US",
"telephone_number": "312-533-0038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "AIMEE",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "MS, APRN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 9, 2019; 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.