Individual provider Active NPI

Lilian A Allen, PH. D, DNP

  • Nurse Practitioner
  • Country Club Hills, IL
National Provider Identifier
1235851890
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95022467 Issued in CA
Practice address
18409 Dartry Dr
Country Club Hills, IL 60478-5295
Phone
(773) 803-3288
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209025925 IL
Nurse Practitioner 363L00000X 95022467 CA Primary

Addresses

Primary practice location

18409 Dartry Dr
Country Club Hills, IL 60478-5295

Mailing address

18409 Dartry Dr
Country Club Hills, IL 60478-5295
Phone (773) 803-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230912000562 IL Practitioner - Nurse Practitioner 3870957707 Reassigns benefits to 2 organizations
I20240712003539 CA Practitioner - Nurse Practitioner 3870957707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
95022467CAMDNurse Practitioner
209025925ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Dec 21, 2023 Accepting new patients
Cook County CurrentSince Dec 21, 2023 Accepting new patients
Cook County Current Accepting new patients
Signify Health Medical Associates of California, PC Nurse Practitioner CurrentSince May 29, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jul 30, 2023 Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 5

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1235851890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18409 DARTRY DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785295",
            "telephone_number": "773-803-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18409 DARTRY DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785295",
            "telephone_number": "773-803-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LILIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH. D, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025925",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Country Club Hills, IL

Sources for this page

Verify at the official NPI Registry.