Individual provider Active NPI

Sajeena Kishore, NP

  • Family Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1356699284
Registry record updated Oct 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009850 Issued in IL
Practice address
101 S Northwest Hwy
Barrington, IL 60010-4607
Phone
(866) 389-2727
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2012

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 209009850 IL Primary

Addresses

Primary practice location

101 S Northwest Hwy
Barrington, IL 60010-4607

Mailing address

1701 Regency CT
Mount Prospect, IL 60056-1982
Phone (847) 293-6524

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
I20130327000306 IL Practitioner - Nurse Practitioner 7810132602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians

Practice addresses (Care Compare)

101 S Northwest Hwy
Barrington, IL 60010-4607
Phone (866) 389-2727

2045 Plum Grove Rd
Rolling Meadows, IL 60008-1992
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209009850ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Nov 5, 2012 Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

101 S Northwest Hwy
Barrington, IL 60010
Phone (847) 381-4105

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

1855 W Irving Park Rd
Schaumburg, IL 60193
Phone (630) 893-5570

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351296000000",
    "number": "1356699284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 REGENCY CT",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561982",
            "telephone_number": "847-293-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S NORTHWEST HWY",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104607",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHORE",
        "first_name": "SAJEENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.