NPIMap

Organization Active NPI

Audrey Forrest

  • Registered Nurse
  • Chicago, IL
National Provider Identifier
1386185676
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041319331 Issued in IL
Legal business name
AUDREY FORREST
Practice address
7600 S Pulaski Rd
Chicago, IL 60652-1286
Phone
(773) 838-5745
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Ms. Audrey ForrestNPI 1821539123
Title
Registered Nurse
Phone
(773) 349-7559

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
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 041319331 IL Primary

Addresses

Primary practice location

7600 S Pulaski Rd
Chicago, IL 60652-1286

Mailing address

3121 W 71St St
Chicago, IL 60629-3003
Phone (773) 349-7559

National Provider Directory

National Provider Directory

Locations

7600 S Pulaski Rd
Chicago, IL 60652
Phone (773) 838-5745

3121 W 71st St
Chicago, IL 60629

Practitioners & affiliated clinicians

Practitioners 2

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": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1386185676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 W 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293003",
            "telephone_number": "773-349-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521286",
            "telephone_number": "773-838-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY FORREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "773-349-7559",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041319331",
            "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 Mar 20, 2017; 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.