NPIMap

Organization Active NPI

Prudent Alliance for Healthcare, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1386117232
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRUDENT ALLIANCE FOR HEALTHCARE, LLC
Practice address
6159 W Eddy St
Chicago, IL 60634-4122
Phone
(630) 425-2570
Fax
(630) 425-2547
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Mr. Julito YranelaNPI 1487698213
Title
President
Phone
(773) 850-4749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6159 W Eddy St
Chicago, IL 60634-4122

Mailing address

6159 W Eddy St
Chicago, IL 60634-4122
Phone (630) 425-2570

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1386117232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6159 W EDDY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344122",
            "telephone_number": "630-425-2570",
            "fax_number": "630-425-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6159 W EDDY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344122",
            "telephone_number": "630-425-2570",
            "fax_number": "630-425-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT ALLIANCE FOR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "YRANELA",
        "authorized_official_first_name": "JULITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-850-4749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.