Individual provider Active NPI

Philomina Toni

  • Family Nurse Practitioner
  • Morton Grove, IL
National Provider Identifier
1265891865
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013823 Issued in IL
Practice address
5732 Lyons St
Morton Grove, IL 60053-1549
Phone
(847) 217-4779
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 209.013823 IL Primary

Addresses

Primary practice location

5732 Lyons St
Morton Grove, IL 60053-1549

Mailing address

5732 Lyons St
Morton Grove, IL 60053-1549
Phone (847) 217-4779

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
I20160919000923 IL Practitioner - Nurse Practitioner 6800183971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Psychiatry and Counseling, SC.Group PAC ID 1456353929, 7 clinicians

Practice addresses (Care Compare)

1 Tiffany PT
Suite 206
Bloomingdale, IL 60108-2916
Phone (630) 924-1160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.013823ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Psychiatry & Counseling, SC. CurrentSince Aug 1, 2017 Accepting new patients

Locations

1 Tiffany Pt
Ste 206
Bloomingdale, IL 60108
Phone (630) 924-1160

1 Tiffany Pt
Ste 110
Bloomingdale, IL 60108
Phone (630) 715-6000

Dept 5973
Carol Stream, IL 60122

2603 S Washington St
Ste 160
Naperville, IL 60565
Phone (630) 956-4969

1000 Dixon Rd
Rock Falls, IL 61071
Phone (815) 625-8510

928 Joliet St
West Chicago, IL 60185
Phone (630) 231-9292

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.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1265891865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 LYONS ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531549",
            "telephone_number": "847-217-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5732 LYONS ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531549",
            "telephone_number": "847-217-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONI",
        "first_name": "PHILOMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.