Active NPI
Kylene Lawlor, NP
- Adult Health Nurse Practitioner
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209.008763
- Practice address
- 205 E Butterfield Rd # 297
Elmhurst, IL 60126-5103 - Phone
- (708) 795-0100
- Fax
- (708) 795-0101
- NPI assigned
- Apr 12, 2011
- Last updated
- May 14, 2018
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209.008763 | IL | Primary |
Addresses
Primary practice location
205 E Butterfield Rd # 297
Elmhurst, IL 60126-5103
Mailing address
205 E Butterfield Rd # 297
Elmhurst, IL 60126-5103
Phone (708) 795-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209-008763 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
578 Commercial St
Marseilles, IL 61341-1814
Phone (815) 795-5121
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 45.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008763 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants LLC | Current | Accepting new patients | |
| Integrated Rehab Consultants LLC | Current | Accepting new patients | |
| Superiorhealth & Wellness of McHenry LTD | Past | Accepting new patients | |
| McHenry Medical Center SC | Past | Accepting new patients |
Locations
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
150 Weiland Rd
Buffalo Grove, IL 60089
Phone (224) 456-6662
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
1415 W Foster Ave
Chicago, IL 60640
Phone (630) 307-9617
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
420 W Butterfield Rd
Elmhurst, IL 60126
Phone (630) 832-2300
578 Commercial St
Marseilles, IL 61341
Phone (815) 795-5121
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1316829146
-
- Chiropractor
- McHenry, IL
- NPI 1366585291
-
- Physical Medicine & Rehabilitation Physician
- McHenry, IL
- NPI 1689946725
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1194015172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E BUTTERFIELD RD # 297",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265103",
"telephone_number": "708-795-0100",
"fax_number": "708-795-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E BUTTERFIELD RD # 297",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265103",
"telephone_number": "708-795-0100",
"fax_number": "708-795-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLOR",
"first_name": "KYLENE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209.008763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209-008763",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.