Individual provider Active NPI

Christine Wilson, APRN

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1366084477
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.004187 Issued in IL
Practice address
5225 Old Orchard Rd Ste 50
Skokie, IL 60077-1027
Phone
(773) 461-0220
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041440400 IL
Family Nurse Practitioner 363LF0000X 277.004187 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.004187 IL
Nurse Practitioner 363L00000X 14673-33 WI

Addresses

Primary practice location

5225 Old Orchard Rd Ste 50
Skokie, IL 60077-1027

Mailing address

620 S State Route 31 Ste 3
McHenry, IL 60050-3134
Phone (815) 475-5878

Other practice location 1

620 S Il Route 31 Ste 3
McHenry, IL 60050-3134
Phone (815) 475-5878

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
I20200320000018 IL Practitioner - Nurse Practitioner 3678901964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians

Practice addresses (Care Compare)

1305 Randall Rd
Crystal Lake, IL 60014-8601
Phone (866) 389-2727

34344 N US Hwy 45
Third Lake, IL 60030-4031
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041440400ILMDRegistered Nurse
14673-33WIMDNurse Practitioner
277.004187ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
NMC Wellness Group, PLLC Family Current Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Nov 9, 2021 Accepting new patients
Brainbody TMS PLLC CurrentSince May 4, 2025 Accepting new patients

Locations

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

1305 Randall Rd
Crystal Lake, IL 60014
Phone (815) 261-1221

620 S State Route 31
Ste 3
McHenry, IL 60050
Phone (815) 475-5878

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

34344 N US Highway 45
Third Lake, IL 60030
Phone (847) 543-5440

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.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1366084477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S STATE ROUTE 31 STE 3",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503134",
            "telephone_number": "815-475-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 OLD ORCHARD RD STE 50",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771027",
            "telephone_number": "773-461-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 S Il Route 31 Ste 3",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600503134",
            "country_code": "US",
            "telephone_number": "815-475-5878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041440400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.004187",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.004187",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14673-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.