Individual provider Active NPI

Emese Bedrosian

  • Acute Care Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1417701186
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209030068 Issued in IL
Practice address
207 W Harrison St Apt 515
Chicago, IL 60607-5046
Phone
(614) 312-3524
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209030068 IL Primary

Addresses

Primary practice location

207 W Harrison St Apt 515
Chicago, IL 60607-5046

Mailing address

207 W Harrison St Apt 515
Chicago, IL 60607-5046
Phone (614) 312-3524

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
I20240906001312 IL Practitioner - Nurse Practitioner 5698215531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Urgent Care Professionals PLLC CurrentSince Jan 1, 2026 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 23, 2024 Accepting new patients
Community Health Providers PLLC Past Accepting new patients

Locations (25 of 28)

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101

17960 Halsted St
Homewood, IL 60430
Phone (708) 923-0911

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

1715 N Division St
Ste 4D
Morris, IL 60450

1715 N Division St
Ste 5E
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

4460 N Harlem Ave
Norridge, IL 60706
Phone (708) 402-9140

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

10408 N Centerway Dr
Ste C
Peoria, IL 61615

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

5905 N Prospect Rd
Peoria, IL 61614

3626 N Sheridan Rd
Peoria, IL 61604

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1417701186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HARRISON ST APT 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075046",
            "telephone_number": "614-312-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HARRISON ST APT 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075046",
            "telephone_number": "614-312-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDROSIAN",
        "first_name": "EMESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209030068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.