Individual provider Active NPI

Kylene Lawlor, NP

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1194015172
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.008763 Issued in IL
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
209-008763MedicaidIL

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
I20120531000561 IL Practitioner - Nurse Practitioner 8022271089 Reassigns benefits to 1 organization

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
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

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 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.008763ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2020 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2020 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.