Individual provider Active NPI

Veronica Kalenik, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1265818967
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015219 Issued in IL
Practice address
3030 N Mobile Ave
Chicago, IL 60634-4041
Phone
(773) 622-5679
Fax
(773) 622-5814
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6197 CT
Family Nurse Practitioner 363LF0000X 209015219 IL Primary

Addresses

Primary practice location

3030 N Mobile Ave
Chicago, IL 60634-4041

Mailing address

3030 N Mobile Ave
Chicago, IL 60634-4041
Phone (773) 622-5679

Other names 1

  • Veronica Galvalisi Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6197CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1265818967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N MOBILE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344041",
            "telephone_number": "773-622-5679",
            "fax_number": "773-622-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N MOBILE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344041",
            "telephone_number": "773-622-5679",
            "fax_number": "773-622-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALENIK",
        "first_name": "VERONICA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "GALVALISI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.