Active NPI
Kayleigh Persino, ANP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209016397
- Practice address
- 30 N Michigan Ave Ste 629
Chicago, IL 60602-3822 - Phone
- (815) 347-8016
- NPI assigned
- Jul 9, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209016397 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave Ste 629
Chicago, IL 60602-3822
Mailing address
30 N Michigan Ave Ste 629
Chicago, IL 60602-3822
Phone (312) 641-6228
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 Busse Rd
Elk Grove Village, IL 60007-5324
Phone (847) 653-0142
1840 N Richmond Rd
McHenry, IL 60051-5416
Phone (779) 704-3075
335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone (630) 735-1400
405 W Golf Rd
Schaumburg, IL 60195-3501
Phone (224) 215-0011
416 S Milwaukee Ave
Libertyville, IL 60048-2821
Phone (847) 979-1112
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
4900 N Cumberland Ave
Norridge, IL 60706-2901
Phone (708) 456-1600
8630 W Golf Rd
Niles, IL 60714-5600
Phone (847) 299-0009
901 E Rand Rd
Mount Prospect, IL 60056-2580
Phone (708) 675-7966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016397 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients |
Locations
800 W Fulton Market
Fl 12
Chicago, IL 60607
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
9501 S Western Ave
Chicago, IL 60643
Phone (773) 344-9465
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
621 E Lincoln Hwy
New Lenox, IL 60451
Phone (815) 907-5955
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1215423660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 629",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023822",
"telephone_number": "312-641-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 629",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023822",
"telephone_number": "815-347-8016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSINO",
"first_name": "KAYLEIGH",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209016397",
"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 Jul 9, 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.