NPIMap

Individual provider Active NPI

Sara Perisin, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Palos Park, IL
National Provider Identifier
1427865492
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209031235 Issued in IL
Practice address
13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508
Phone
(708) 274-3278
Fax
(708) 274-3299
NPI assigned
Dec 13, 2024
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 209031235 IL Primary

Addresses

Primary practice location

13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508

Mailing address

24428 S Valley Dr
Channahon, IL 60410-5226
Phone (708) 913-3375

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116001386 IL Practitioner - Nurse Practitioner 7214465327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209031235ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jan 15, 2026 Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 15, 2026 Accepting new patients
Heart Care Centers of Illinois, SC CurrentSince Jan 20, 2025 Accepting new patients
University of Chicago CurrentSince Jan 15, 2026 Accepting new patients
Heart Care Centers of Illinois, SC PastSince Dec 15, 2024 Accepting new patients

Locations

3231 Euclid Ave
Ste 400
Berwyn, IL 60402
Phone (708) 478-3600

2338 New St
Blue Island, IL 60406
Phone (708) 577-5060

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

2121 Oneida St
Ste 202
Joliet, IL 60435
Phone (815) 741-4390

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

10260 191st St
Ste 102
Mokena, IL 60448
Phone (708) 478-4224

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

13011 S 104th Ave
Ste 100
Palos Park, IL 60464
Phone (708) 274-3278

10855 Virginia St
Ste 1200
Crown Point, IN 46307
Phone (219) 407-5500

10855 Virginia St
Ste 2400
Crown Point, IN 46307

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1427865492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24428 S VALLEY DR",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105226",
            "telephone_number": "708-913-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641508",
            "telephone_number": "708-274-3278",
            "fax_number": "708-274-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S MARYLAND AVE",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERISIN",
        "first_name": "SARA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209031235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

Verify at the official NPI Registry.