Individual provider Active NPI

Erin O'Connell Burke, CNP

  • Nurse Practitioner
  • Oak Brook, IL
National Provider Identifier
1215644869
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209023433 Issued in IL
Practice address
2100 Clearwater Dr
Oak Brook, IL 60523-1927
Phone
(630) 607-1000
Fax
(630) 607-1002
NPI assigned
Nov 2, 2022
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209023433 IL Primary

Addresses

Primary practice location

2100 Clearwater Dr
Oak Brook, IL 60523-1927

Mailing address

10359 S Homan Ave
Chicago, IL 60655-2422
Phone (312) 330-3910

Other practice location 1

10719 160th St
Orland Park, IL 60467-5541
Phone (630) 607-1000

Other practice location 2

4220 W 95th St Ste 120
Oak Lawn, IL 60453-3072
Phone (630) 607-1000

Other practice location 3

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Other identifiers 2

IdentifierTypeStateIssuer
1164567236OtherILBCBS
1164567236MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.apcnopain.com Health Information Exchange (HIE)

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
I20230905001685 IL Practitioner - Nurse Practitioner 7012370307 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209023433ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Mar 8, 2024 Accepting new patients
Advanced Pain Consultants, S.C. CurrentSince Aug 1, 2023 Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 8, 2024 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

2100 Clearwater Dr
Ste 100
Oak Brook, IL 60523
Phone (630) 581-3801

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1215644869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10359 S HOMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552422",
            "telephone_number": "312-330-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLEARWATER DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231927",
            "telephone_number": "630-607-1000",
            "fax_number": "630-607-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10719 160th St",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604675541",
            "country_code": "US",
            "telephone_number": "630-607-1000",
            "fax_number": "630-607-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4220 W 95th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604533072",
            "country_code": "US",
            "telephone_number": "630-607-1000",
            "fax_number": "630-607-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "ERIN",
        "middle_name": "O'CONNELL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209023433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1164567236",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164567236",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.apcnopain.com",
            "affiliation": "N",
            "endpointDescription": "Advanced Pain Consultants",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 Clearwater Dr",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.