Individual provider Active NPI

Quinette Iheanyichukwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1225674914
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277001941 Issued in IL
Practice address
2815 Forbs Ave Ste 107
Hoffman Estates, IL 60192-3731
Phone
(847) 865-8424
Fax
(224) 901-2648
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001941 IL Primary

Addresses

Primary practice location

2815 Forbs Ave Ste 107
Hoffman Estates, IL 60192-3731

Mailing address

2815 Forbs Ave Ste 107
Hoffman Estates, IL 60192-3731
Phone (847) 865-8424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277001941ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightstar Mental Health LLC Psychiatric/Mental Health Current Accepting new patients

Locations

2815 Forbs Ave
Ste 107
Hoffman Estates, IL 60192
Phone (224) 765-0100

Interoperability endpoints

  • Direct secure messaging: quinette.iheanyichukwu.1@26255.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1225674914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 FORBS AVE STE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923731",
            "telephone_number": "847-865-8424",
            "fax_number": "224-901-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 FORBS AVE STE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923731",
            "telephone_number": "847-865-8424",
            "fax_number": "224-901-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEANYICHUKWU",
        "first_name": "QUINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.