Justine Mi Kuryliw, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085005703 Issued in IL

Practice address

2040 Ogden Ave Ste 304
Aurora, IL 60504-7205

Phone

(888) 352-7874

NPI assigned

Jan 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  IL

  Medicare reassignment Care Compare group NPD
• Copley Memorial Hospital, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Aurora, IL
  • NPI 1619466034

  IL

  Medicare reassignment NPD
• Northwestern Medical Faculty Foundation

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314

  IL

  Medicare reassignment NPD
• Northwestern Medical Faculty Foundation

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1417718479
  NPD
• Copley Memorial Hospital Inc.

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1629003165
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1376909093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 OAKWOOD AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153452",
            "telephone_number": "815-501-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 304",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047205",
            "telephone_number": "888-352-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURYLIW",
        "first_name": "JUSTINE",
        "middle_name": "MI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vrinda Vinayak Kumar, M.D.
• Jurate Kunickaite, DO
• Darryl Hiroshi Kunimura, OD
• Shannon Rose Kurian
• Frederick Kurtz
• Sarah Kurzinski I
• Beth Elyse Kuykendall, MSW
• Sandy Kwak, MD
• Danielle Dawn La Ha, M.A.
• Elizabeth Rebecca La Ha

• All providers in Aurora, IL
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.