Individual provider Active NPI

Deborah Cyrkiel, NP

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1245597368
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009482 Issued in IL
Practice address
1360 Houbolt Rd
Joliet, IL 60431-9215
Phone
(815) 823-8800
Fax
(815) 729-2178
NPI assigned
Apr 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009482 IL Primary

Addresses

Primary practice location

1360 Houbolt Rd
Joliet, IL 60431-9215

Mailing address

PO Box 544
Milwaukee, WI 53201-0544
Phone (815) 713-2600

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
I20120828000047 IL Practitioner - Nurse Practitioner 6103073135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1360 Houbolt Rd
Joliet, IL 60431-9215
Phone (815) 823-8800

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

6050 Caton Farm Rd
Plainfield, IL 60586-8218
Phone (815) 609-5501

621 E Lincoln Hwy
New Lenox, IL 60451-1972
Phone (815) 907-5956

800 N Larkin Ave
Joliet, IL 60435-3429
Phone (815) 741-4300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Past Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1245597368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 544",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532010544",
            "telephone_number": "815-713-2600",
            "fax_number": "815-654-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 HOUBOLT RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319215",
            "telephone_number": "815-823-8800",
            "fax_number": "815-729-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRKIEL",
        "first_name": "DEBORAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.