Individual provider Active NPI

Therese A. Hughes

  • Obstetrics & Gynecology Physician
  • Highland Park, IL
National Provider Identifier
1235150673
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036096747 Issued in IL
Practice address
757 Park Ave W Ste 2800
Highland Park, IL 60035-2557
Phone
(847) 432-1558
Fax
(847) 432-6981
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036096747 IL Primary

Addresses

Primary practice location

757 Park Ave W Ste 2800
Highland Park, IL 60035-2557

Mailing address

757 Park Ave W Ste 2800
Highland Park, IL 60035-2557
Phone (847) 432-1558

Other identifiers 1

IdentifierTypeStateIssuer
036096747MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thughes11437@direct.northshore.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019000966 IL Practitioner - Obstetrics/Gynecology 9537139258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1000 E Rollins Rd
Round Lake Beach, IL 60073-2228
Phone (224) 364-2273

15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone (847) 520-9424

2650 Ridge Ave
Evanston, IL 60201-1700

757 Park Ave W
Suite 2800
Highland Park, IL 60035-2557
Phone (847) 926-6500

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036096747ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology CurrentSince Jul 1, 2013 Accepting new patients
Northwest Community Women Services LLC Obstetrics & Gynecology Past Accepting new patients

Locations

15 S McHenry Rd
Fl 4
Buffalo Grove, IL 60089
Phone (847) 520-9424

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

767 Park Ave W
Ste 240
Highland Park, IL 60035
Phone (847) 432-1558

757 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3800

757 Park Ave W
Ste 2800
Highland Park, IL 60035
Phone (847) 432-1558

1000 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 367-5400

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1235150673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 PARK AVE W STE 2800",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352557",
            "telephone_number": "847-432-1558",
            "fax_number": "847-432-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 PARK AVE W STE 2800",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352557",
            "telephone_number": "847-432-1558",
            "fax_number": "847-432-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "THERESE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036096747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096747",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thughes11437@direct.northshore.org",
            "affiliation": "N",
            "address_1": "757 Park Ave W Ste 2800",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600352557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.