Individual provider Active NPI

Angelina D Ledonne, MS,APRN BC

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1407977838
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209-000296 Issued in IL
Practice address
1100 E 87TH St Suite 900a
Chicago, IL 60619
Phone
(708) 310-5370
Fax
(773) 731-5995
NPI assigned
Apr 3, 2007
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209-000296 IL Primary

Addresses

Primary practice location

1100 E 87TH St Suite 900a
Chicago, IL 60619

Mailing address

30 E 15TH St
Chicago Heights, IL 60411-3459
Phone (708) 756-5454

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000024 IL Practitioner - Nurse Practitioner 6305024365 Reassigns benefits to 6 organizations
Practice locations: Crete, IL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Center S.C.Group PAC ID 6406994755, 2 clinicians

Practice addresses (Care Compare)

6252 S Archer Rd
Summit, IL 60501-1720
Phone (708) 496-9549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-000296ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Jun 19, 2017 Accepting new patients
Chicago BH Hospital, LLC CurrentSince Jul 1, 2022 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Aug 24, 2016 Accepting new patients
CMC Healthcare LLC CurrentSince Apr 16, 2024 Accepting new patients
Chicago BH Hospital, LLC CurrentSince Jul 1, 2022 Accepting new patients
Cermak Medical Group LLC CurrentSince Dec 1, 2019 Accepting new patients
Summit Medical Center S.C. CurrentSince May 7, 2024 Accepting new patients
Chicago BH Hospital, LLC Current Accepting new patients
P C Goodwin Medical LLC Past Accepting new patients
Paragon Clinical LLC Adult Health PastSince Oct 8, 2019 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
William B Evans MD SC Past Accepting new patients

Locations

422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022

3046 Burr Oak Ave
Blue Island, IL 60406
Phone (708) 377-7920

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

4720 N Clarendon Ave
Chicago, IL 60640
Phone (773) 313-4401

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

5741 W Cermak Rd
Cicero, IL 60804
Phone (708) 222-0100

1251 E Richton Rd
Crete, IL 60417
Phone (708) 367-4414

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

200 Martin Ave
Naperville, IL 60540
Phone (630) 236-8018

6252 S Archer Rd
Summit Argo, IL 60501
Phone (708) 496-9549

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1407977838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 15TH ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "708-756-5454",
            "fax_number": "708-756-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 87TH ST SUITE 900A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60619",
            "telephone_number": "708-310-5370",
            "fax_number": "773-731-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDONNE",
        "first_name": "ANGELINA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MS,APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-000296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.