Ceres K Kangou, APN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277002135 Issued in IL

Practice address

9697 191St St. Suite 200
Ehmg-Behavioral Health
Mokena, IL 60448

Phone

(630) 646-6540

Fax

(630) 646-6542

NPI assigned

Mar 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckangou289293@direct.edward.org

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.

• Bekove Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1801692082

  Single Specialty

  Medicare reassignment NPD Authorized official
• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Advance Inpatient Medicine LLC

  • Hospitalist Physician
  • Oak Brook, IL
  • NPI 1265989875

  Single Specialty

  Medicare reassignment NPD
• County of Dupage Department of Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wheaton, IL
  • NPI 1134110786

  Single Specialty

  Medicare reassignment NPD
• County of Dupage Department of Health

  • Health Service Clinic/Center
  • Wheaton, IL
  • NPI 1932892999
  NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944

  Single Specialty

  NPD

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1194285213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011197",
            "telephone_number": "630-682-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9697 191ST ST. SUITE 200",
            "address_2": "EHMG-BEHAVIORAL HEALTH",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60448",
            "telephone_number": "630-646-6540",
            "fax_number": "630-646-6542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "IL",
            "postal_code": "601011197",
            "country_code": "US",
            "telephone_number": "630-682-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANGOU",
        "first_name": "CERES",
        "middle_name": "K",
        "credential": "APN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277002135",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019061",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kaye E. Davis, MD, SC
• Les Kazmierczak
• Kcmso, LLC

• Nurse Practitioner in Mokena, IL
• Providers in Mokena, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.

Verify at the official NPI Registry.