Active NPI
Helena Kevorkian
- Family Nurse Practitioner
- Joliet, IL
National Provider Identifier
1275406183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.033739
- Practice address
- 95 S Chicago St
Joliet, IL 60436-1745 - Phone
- (815) 740-5561
- NPI assigned
- Sep 26, 2025
- Reactivated
- Nov 26, 2025
- Last updated
- Jun 16, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.033739 | IL | Primary |
| Registered Nurse | 163W00000X | 041.484198 | IL |
Addresses
Primary practice location
95 S Chicago St
Joliet, IL 60436-1745
Mailing address
9551 171St St
Tinley Park, IL 60487-6109
Phone (866) 389-2727
Other practice location 1
9551 171st St
Tinley Park, IL 60487-6109
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9551 171St St
Tinley Park, IL 60487-6109
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.484198 | IL | MD | Registered Nurse |
| 209.033739 | IL | MD | Family Nurse Practitioner |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Mokena, IL
- NPI 1356485809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1275406183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9551 171ST ST",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604876109",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 S CHICAGO ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604361745",
"telephone_number": "815-740-5561"
}
],
"practiceLocations": [
{
"address_1": "9551 171st St",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604876109",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEVORKIAN",
"first_name": "HELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-26",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"deactivation_date": "2025-10-30",
"reactivation_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.033739",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.484198",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.