Active NPI
Lori Short, APN
- Adult Health Nurse Practitioner
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209-012886
- Practice address
- 10837 S. Cicero, Suite 320
Adult Primary Care Center, LTD.
Oak Lawn, IL 60453 - Phone
- (708) 636-1601
- NPI assigned
- Jul 15, 2015
- Last updated
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209-012886 | IL | Primary |
Addresses
Primary practice location
10837 S. Cicero, Suite 320
Adult Primary Care Center, LTD.
Oak Lawn, IL 60453
Mailing address
10837 S. Cicero, Suite 320
Adult Primary Care Center, LTD.
Oak Lawn, IL 60453
Phone (708) 636-1601
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-012886 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Clinical LLC | Adult Health | Current | Accepting new patients |
| Post Acute Specialists, LLC | Current | Accepting new patients | |
| Midwest Primary Care, S.C. | Current | Accepting new patients | |
| Dr Dale S Raines & Associates LTD | Past | Accepting new patients | |
| Paragon Clinical Midwest, LLC | Past | Accepting new patients | |
| Adult Primary Care Center, LTD. | Past | Accepting new patients |
Locations
800 W Oakton St
Arlington Hts, IL 60004
Phone (847) 253-3710
1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706
2955 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-0022
9825 S Jordan Gtwy
Sandy, UT 84070
Interoperability endpoints
- lshort317835@direct.myadvocateaurora.org
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1336523760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10837 S. CICERO, SUITE 320",
"address_2": "ADULT PRIMARY CARE CENTER, LTD.",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-636-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10837 S. CICERO, SUITE 320",
"address_2": "ADULT PRIMARY CARE CENTER, LTD.",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-636-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "LORI",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209-012886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.