Individual provider Active NPI

Diane Kral, FNP-BC

  • Family Nurse Practitioner
  • Highland Park, IL
National Provider Identifier
1376902908
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013840 Issued in IL
Practice address
2773 Skokie Valley Rd
Highland Park, IL 60035-1042
Phone
(847) 986-0908
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 209013840 IL Primary

Addresses

Primary practice location

2773 Skokie Valley Rd
Highland Park, IL 60035-1042

Mailing address

7200 W Dobson St
Niles, IL 60714-4702
Phone (773) 206-7549

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
I20181127002662 IL Practitioner - Nurse Practitioner 0143564468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

2732 N Hampden CT
Chicago, IL 60614-1612
Phone (773) 248-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Consultations LTD CurrentSince Oct 27, 2018 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

715 W Lake St
Ste 104
Addison, IL 60101
Phone (630) 366-6681

3601 S Harlem Ave
Berwyn, IL 60402
Phone (708) 484-1486

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000

2773 Skokie Valley Rd
Highland Park, IL 60035
Phone (847) 266-9266

701 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 681-3200

8425 Waukegan Rd
Morton Grove, IL 60053
Phone (847) 929-9690

3450 Oakton St
Ste 300
Skokie, IL 60076

Organizations & group practices 2

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1376902908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W DOBSON ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144702",
            "telephone_number": "773-206-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2773 SKOKIE VALLEY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351042",
            "telephone_number": "847-986-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAL",
        "first_name": "DIANE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.