Active NPI
Andrea Dillman, NP
- Family Nurse Practitioner
- Willowbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.027005
- Practice address
- 7050 S Madison St
Willowbrook, IL 60527-5548 - Phone
- (630) 457-8649
- Fax
- (630) 323-6416
- NPI assigned
- Feb 21, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.451302 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.027005 | IL | Primary |
Addresses
Primary practice location
7050 S Madison St
Willowbrook, IL 60527-5548
Mailing address
7050 S Madison St
Willowbrook, IL 60527-5548
Phone (630) 457-8649
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 W Touhy Ave
Chicago, IL 60645-3309
Phone (312) 593-5599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.451302 | IL | MD | Registered Nurse |
| 209.027005 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Healthcare LLC | Current | Accepting new patients |
Locations
422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022
2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599
2201 Main St
Evanston, IL 60202
Phone (847) 905-3000
200 Martin Ave
Naperville, IL 60540
Phone (630) 236-8018
270 Skokie Blvd
Northbrook, IL 60062
Phone (773) 620-1974
7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680
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.
-
- Nurse Practitioner
- Evanston, IL
- NPI 1295432334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1407501224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 S MADISON ST",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275548",
"telephone_number": "630-457-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 S MADISON ST",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275548",
"telephone_number": "630-457-8649",
"fax_number": "630-323-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLMAN",
"first_name": "ANDREA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.451302",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.027005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.