Individual provider Active NPI

Claire Eileen Kilpatrick, CPO/L

  • Prosthetist
  • Chicago, IL
National Provider Identifier
1336896372
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
211000366 Issued in IL
Practice address
2835 N Sheffield Ave Ste 301
Chicago, IL 60657-5084
Phone
(773) 472-3663
Fax
(773) 472-3668
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 213000413 IL
Prosthetist 224P00000X 211000366 IL Primary

Addresses

Primary practice location

2835 N Sheffield Ave Ste 301
Chicago, IL 60657-5084

Mailing address

2835 N Sheffield Ave Ste 301
Chicago, IL 60657-5084
Phone (773) 472-3663

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
213000413ILMDOrthotist
211000366ILMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1336896372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575084",
            "telephone_number": "773-472-3663",
            "fax_number": "773-472-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575084",
            "telephone_number": "773-472-3663",
            "fax_number": "773-472-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "CLAIRE",
        "middle_name": "EILEEN",
        "credential": "CPO/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213000413",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211000366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.