Evelyn Gisselle Chicas
Individual provider Active NPI Family Nurse Practitioner · Volo, IL
NPI 1386465482 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1386465482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209030830 (IL)
- Practice address
- 1439 Prescott Dr
Volo, IL 60020-3412 - Phone
- (224) 203-9067
- NPI assigned
- Oct 21, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Inpatient Consultants LLC
Practice addresses (Care Compare)
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900
Hospital & facility affiliations
- Elara Caring
- Luxe Home Health
- Advocate Condell Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241212002493 | IL | Practitioner - Nurse Practitioner | 9032645122 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209030830 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Inpatient Consultants LLC | Current |
Accepting new patients |
Locations
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209030830 | IL | Yes |
Addresses
Primary practice location
1439 Prescott Dr
Volo, IL 60020-3412
Mailing address
1439 Prescott Dr
Volo, IL 60020-3412
Phone (224) 203-9067
Other providers in Volo, IL
- Adina Ackerman
- Patty J Anderson
- Avaldeep K Aulakh
- Stephanie Rae Barkemeyer
- Leslie Brankin
- Collaborative Roots Counseling, LLC
- Rachel Hannah Day
- Delta Health Alliance LLC
- Alan Esser
- FJ Psychological Services
All providers in Volo, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.