Individual provider Active NPI

Lori Short, APN

  • Adult Health Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1336523760
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209-012886 Issued in IL
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215001334 IL Practitioner - Nurse Practitioner 2961706783 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-012886ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Adult Health CurrentSince Jan 25, 2016 Accepting new patients
Post Acute Specialists, LLC CurrentSince Feb 18, 2025 Accepting new patients
Midwest Primary Care, S.C. CurrentSince Oct 29, 2017 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. PastSince Jan 1, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.