Individual provider Active NPI

Sheri Nichole Jakupovic, APN

  • Adult Health Nurse Practitioner
  • River Forest, IL
National Provider Identifier
1346786803
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209015114 Issued in IL
Practice address
7343 Lake St
River Forest, IL 60305-2206
Phone
(708) 231-8908
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041397892 IL
Adult Health Nurse Practitioner 363LA2200X 209015114 IL Primary

Addresses

Primary practice location

7343 Lake St
River Forest, IL 60305-2206

Mailing address

7343 Lake St
River Forest, IL 60305-2206
Phone (708) 231-8908

Other practice location 1

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220

Other identifiers 1

IdentifierTypeStateIssuer
209015114MedicaidIL

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
I20181101001134 IL Practitioner - Nurse Practitioner 4284987660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041397892ILMDNurse Practitioner
209015114ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Inpatient Care,LTD CurrentSince Nov 1, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 15, 2018 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 15, 2018 Accepting new patients
Best Practices Inpatient Care, LTD. CurrentSince Nov 1, 2022 Accepting new patients
Timless Men's Health Clinic, PLLC PastSince Sep 15, 2024 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

12200 Western Ave
Ste 100
Blue Island, IL 60406
Phone (708) 631-2781

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

7343 Lake St
River Forest, IL 60305
Phone (708) 231-8908

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1346786803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052206",
            "telephone_number": "708-231-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7343 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052206",
            "telephone_number": "708-231-8908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3880 Salem Lake Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Long Grove",
            "state": "IL",
            "postal_code": "600475292",
            "country_code": "US",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKUPOVIC",
        "first_name": "SHERI",
        "middle_name": "NICHOLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041397892",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209015114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209015114",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

Verify at the official NPI Registry.