Individual provider Active NPI

Deborah M. Lynch, CNS

  • Neuroscience Clinical Nurse Specialist
  • Evanston, IL
National Provider Identifier
1346441490
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroscience Clinical Nurse SpecialistTaxonomy code 364SN0800X
License
209-005072 Issued in IL
Practice address
2650 Ridge Ave
Neurology, Burch 309
Evanston, IL 60201-1718
Phone
(847) 570-2570
Fax
(847) 570-2073
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroscience Clinical Nurse Specialist 364SN0800X 209-005072 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
Neurology, Burch 309
Evanston, IL 60201-1718

Mailing address

1725W Harrison St 1106
Chicago, IL 60612-3845
Phone (312) 942-4500

Other identifiers 1

IdentifierTypeStateIssuer
209-005072OtherILIL STATE LIC

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
I20090602000708 IL Practitioner - Nurse Practitioner 9335299973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-005072ILMDNeuroscience Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 19, 2010 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 19, 2010 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 1118
Chicago, IL 60612
Phone (312) 942-5936

9532 Eagle Way
Chicago, IL 60678

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 1106
Chicago, IL 60612
Phone (312) 563-2144

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

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

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#309
Evanston, IL 60201
Phone (847) 570-2567

Interoperability endpoints

  • Direct secure messaging: dlynch112156@direct.rush.rush-health.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1346441490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725W HARRISON ST 1106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123845",
            "telephone_number": "312-942-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "address_2": "NEUROLOGY, BURCH 309",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-2570",
            "fax_number": "847-570-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "DEBORAH",
        "middle_name": "M.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "IL",
            "license": "209-005072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LIC",
            "identifier": "209-005072",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.