Evelyn Bollinger, RN – Clinical Nurse Specialist

Key facts

NPI: 1407097397
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Nurse Specialist 364S00000X
License: 209.007117 (IL)
Practice address: Ingalls Home Care
One Ingalls Drive
Harvey, IL 60426-3591
Phone: (708) 331-0226
Fax: (708) 915-6357
NPI assigned: Mar 23, 2009
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Advocate Health Centers, Inc. Multi-Specialty Clinic/Center · Chicago, IL · NPI 1639111933

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner, Registered Nurse

State licenses

License	State	Type	Specialty
209.007117	IL	MD	Clinical Nurse Specialist

Practice roles

Organization	Specialty	Status	New patients
Advocate Health Centers, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Nurse Specialist	364S00000X	209.007117	IL	Yes

Addresses

Primary practice location

Ingalls Home Care
One Ingalls Drive
Harvey, IL 60426-3591

Mailing address

One Ingalls Drive
Ingalls Home Care
Harvey, IL 60426-3591
Phone (708) 331-0226

Other providers in Harvey, IL

All providers in Harvey, IL · Clinical Nurse Specialist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.