Individual provider Active NPI

Marguerite C. Vitulski, APN-CNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1285805655
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209005047 Issued in IL
Practice address
2019 W Irving Park Rd
Chicago, IL 60618-3909
Phone
(773) 293-8787
Fax
(773) 293-8793
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 209.005047 IL
Family Nurse Practitioner 363LF0000X 209005047 IL
Nurse Practitioner 363L00000X 209005047 IL Primary

Addresses

Primary practice location

2019 W Irving Park Rd
Chicago, IL 60618-3909

Mailing address

2740 W Foster Ave
LL7
Chicago, IL 60625-3500
Phone (773) 878-8200

Other names 1

  • Ms. Marguerite A Clohisy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvitulski277139@direct.northshore.org

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
I20041105000534 IL Practitioner - Nurse Practitioner 6406819903 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.005047ILMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Swedish Covenant Management Services, Inc. Nurse Practitioner CurrentSince May 23, 2016 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince May 23, 2016 Accepting new patients

Locations

2740 W Foster Ave
Ste LL7
Chicago, IL 60625

9532 Eagle Way
Chicago, IL 60678

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

2019 W Irving Park Rd
Chicago, IL 60618
Phone (773) 293-8787

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

6450 W Touhy Ave
Niles, IL 60714
Phone (847) 583-1000

Interoperability endpoints

  • Direct secure messaging: mvitulski277139@direct.northshore.org

Organizations & group practices 4

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1285805655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "LL7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183909",
            "telephone_number": "773-293-8787",
            "fax_number": "773-293-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITULSKI",
        "first_name": "MARGUERITE",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "APN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "IL",
            "license": "209.005047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209005047",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvitulski277139@direct.northshore.org",
            "affiliation": "N",
            "address_1": "2019 W Irving Park Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606183909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARGUERITE",
            "last_name": "CLOHISY",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "APN,FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.