Active NPI
Leonor De Asis Banez, NP-C
- Nurse Practitioner
- La Grange Highlands, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-010291
- Practice address
- 5201 Willow Springs Rd Ste 260
La Grange Highlands, IL 60525-6537 - Phone
- (630) 554-3456
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209010291 | IL | |
| Nurse Practitioner | 363L00000X | 209-010291 | IL | Primary |
Addresses
Primary practice location
5201 Willow Springs Rd Ste 260
La Grange Highlands, IL 60525-6537
Mailing address
120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000
Other practice location 1
1801 W Taylor St
Chicago, IL 60612-4795
Phone (312) 413-5569
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130722000120 | IL | Practitioner - Nurse Practitioner | 9032350889 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 W Taylor St
Chicago, IL 60612-4795
5525 S Pulaski Rd
Chicago, IL 60629-4400
Phone (312) 996-2779
845 W Wilson Ave
Uic Medicine
Chicago, IL 60640-8090
Phone (312) 744-1295
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-010291 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Paragon Clinical LLC | Nurse Practitioner | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Past | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Nurse Practitioner | Past | Accepting new patients |
| Paragon Clinical Midwest, LLC | Nurse Practitioner | Past | Accepting new patients |
| The Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1340 S Damen Ave
Chicago, IL 60608
Phone (312) 738-2587
1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
Interoperability endpoints
- lbanez153661@uihealth.direct-ci.com
Organizations & group practices 8
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Neurology Physician
- Chicago, IL
- NPI 1982824660
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1609094739
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1609822147
Nurse Practitioner
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1619335700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1386987352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231563",
"telephone_number": "630-573-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD STE 260",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256537",
"telephone_number": "630-554-3456"
}
],
"practiceLocations": [
{
"address_1": "1801 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124795",
"country_code": "US",
"telephone_number": "312-413-5569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANEZ",
"first_name": "LEONOR",
"middle_name": "DE ASIS",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010291",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-010291",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St Ste 200",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.