Active NPI
White Dove Healthcare PLLC
- Nurse Practitioner
- Westmont, IL
National Provider Identifier
1245045939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- WHITE DOVE HEALTHCARE PLLC
- Practice address
- 5801 S Cass Ave
Westmont, IL 60559-2300 - Phone
- (630) 971-2645
- NPI assigned
- Feb 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Ann Elliott, APRN
- Title
- Owner
- Phone
- (847) 529-4842
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
5801 S Cass Ave
Westmont, IL 60559-2300
Mailing address
75 Commerce Dr Unit 87
Grayslake, IL 60030-7525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250429002082 | IL | Part B Supplier - Clinic/Group Practice | 5698291003 |
Receives reassigned benefits from 1 practitioner Practice locations: Westmont, IL |
National Provider Directory
National Provider DirectoryLocations
75 Commerce Dr
Unit 87
Grayslake, IL 60030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1245045939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 COMMERCE DR UNIT 87",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 S CASS AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592300",
"telephone_number": "630-971-2645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE DOVE HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-529-4842",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.