Active NPI
Meena S Chacko, APN NP-C
- Family Nurse Practitioner
- Elgin, IL
National Provider Identifier
1265680219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.007199
- Practice address
- 1975 Lin Lor LN
Suite 10
Elgin, IL 60123-4902 - Phone
- (847) 697-0770
- Fax
- (847) 697-0789
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.007199 | IL | Primary |
Addresses
Primary practice location
1975 Lin Lor LN
Suite 10
Elgin, IL 60123-4902
Mailing address
6678 Majestic Way
Carpentersville, IL 60110-3441
Phone (847) 594-1782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.007199 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Endocrinology Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Elgin, IL
- NPI 1275584518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1265680219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6678 MAJESTIC WAY",
"city": "CARPENTERSVILLE",
"state": "IL",
"postal_code": "601103441",
"telephone_number": "847-594-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 LIN LOR LN",
"address_2": "SUITE 10",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234902",
"telephone_number": "847-697-0770",
"fax_number": "847-697-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACKO",
"first_name": "MEENA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "APN NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.007199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.