Individual provider Active NPI

Silvia Lara, FNP

  • Family Nurse Practitioner
  • Cicero, IL
National Provider Identifier
1356644272
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209008302 Issued in IL
Practice address
4747 W Cermak Rd
Cicero, IL 60804-2508
Phone
(708) 656-4766
Fax
(708) 652-4745
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209008302 IL Primary

Addresses

Primary practice location

4747 W Cermak Rd
Cicero, IL 60804-2508

Mailing address

1220 S Wood St
Chicago, IL 60608-1202
Phone (312) 996-2000

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
I20120328000877 IL Practitioner - Nurse Practitioner 8628238698 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209008302ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jan 16, 2012 Accepting new patients
Access Community Health Network Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 3, 2016 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 3, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Access Community Health Network CurrentSince Jan 16, 2012 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472

3050 W 39th Pl
Chicago, IL 60632
Phone (773) 376-8008

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

4747 W Cermak Rd
Cicero, IL 60804
Phone (708) 656-4766

Interoperability endpoints

  • Direct secure messaging: slara17214@uihealth.direct-ci.com

Organizations & group practices 9

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1356644272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081202",
            "telephone_number": "312-996-2000",
            "fax_number": "312-413-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042508",
            "telephone_number": "708-656-4766",
            "fax_number": "708-652-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "SILVIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

Verify at the official NPI Registry.