Jonathan Handrup

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150105239 Issued in IL

Practice address

225 E Deerpath
Lake Forest, IL 60045-1952

Phone

(847) 796-6400

NPI assigned

Jul 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

360 Degrees Wellness and Coaching LLCGroup PAC ID 8426288978, 8 clinicians

Theodore Handrup MD LTDGroup PAC ID 5294709887, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 360 Degrees Wellness & Coaching LLC

  • Clinical Social Worker
  • Lake Forest, IL
  • NPI 1497176523
  Medicare reassignment Care Compare group NPD
• Theodore Handrup MD LTD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1235152687
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1295306322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 W 16TH ST APT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082863",
            "telephone_number": "312-498-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451952",
            "telephone_number": "847-796-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDRUP",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150105239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gunderson
• Brittany Hale
• Lori Ann Halvorson, AUD
• Trevor J Hamilton, MD
• Jung Min Han, PHARMD
• Christopher L Hanks, ATC
• Esther Harris, LCSW
• Jeanine Harshbarger, FNP
• Robert J Hartman, M.D.
• Cheryl Denise Hayden, AU.D.

• Social Worker in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.

Verify at the official NPI Registry.