Individual provider Active NPI

Silifat Iyabo Jones-Ibrahim, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Homewood, IL
National Provider Identifier
1235850876
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
377.003982 Issued in IL
Practice address
17728 Gladville Ave
Homewood, IL 60430-1314
Phone
(708) 969-4026
NPI assigned
Sep 12, 2022
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 377.003982 IL Primary

Addresses

Primary practice location

17728 Gladville Ave
Homewood, IL 60430-1314

Mailing address

17728 Gladville Ave
Homewood, IL 60430-1314
Phone (708) 969-4026

Other practice location 1

17728 Gladville Ave
Homewood, IL 60430-1314
Phone (708) 969-4026

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
I20230822003408 IL Practitioner - Nurse Practitioner 9739542838 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mathers Clinic LLCGroup PAC ID 7214111582, 21 clinicians

Practice addresses (Care Compare)

145 S Virginia St
Crystal Lake, IL 60014-7226
Phone (815) 444-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
377.003982ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Mathers Clinic LLC Current Accepting new patients
The Mathers Clinic LLC CurrentSince Jul 9, 2023 Accepting new patients
Glow Behavioral Health Services LLC Psychiatric/Mental Health Current Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654

145 S Virginia St
Ste C
Crystal Lake, IL 60014
Phone (815) 363-6055

455 E Main St
East Dundee, IL 60118
Phone (847) 428-2273

420 Airport Rd
Ste C
Elgin, IL 60123
Phone (815) 444-9999

Organizations & group practices 4

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1235850876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17728 GLADVILLE AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301314",
            "telephone_number": "708-969-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17728 GLADVILLE AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301314",
            "telephone_number": "708-969-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17728 Gladville Ave",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604301314",
            "country_code": "US",
            "telephone_number": "708-969-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES-IBRAHIM",
        "first_name": "SILIFAT",
        "middle_name": "IYABO",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "377.003982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.