Individual provider Active NPI

Chenel Vanden Berk

  • Registered Nurse
  • Grayslake, IL
National Provider Identifier
1285587915
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.392280 Issued in IL
Practice address
261 Lionel Dr
Grayslake, IL 60030-2756
Phone
(847) 406-9301
NPI assigned
Feb 20, 2026
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
041.392280ILMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.392280 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

261 Lionel Dr
Grayslake, IL 60030-2756

Mailing address

261 Lionel Dr
Grayslake, IL 60030-2756
Phone (847) 406-9301

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2026.

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1285587915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 LIONEL DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302756",
            "telephone_number": "847-406-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 LIONEL DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302756",
            "telephone_number": "847-406-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN BERK",
        "first_name": "CHENEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.392280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.