Individual provider Active NPI

Laura Lee Siciliano, A.P.R.N.-B.C., ANP

  • Adult Health Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1437551470
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209004078 Issued in IL
Practice address
1355 Remington Rd
Suite C
Schaumburg, IL 60173-4832
Phone
(630) 912-2930
Fax
(630) 912-2933
NPI assigned
Sep 22, 2014
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041261981 IL
Adult Health Nurse Practitioner 363LA2200X 209004078 IL Primary

Addresses

Primary practice location

1355 Remington Rd
Suite C
Schaumburg, IL 60173-4832

Mailing address

1355 Remington Rd
Suite C
Schaumburg, IL 60173-4832
Phone (630) 912-2930

Other names 1

  • Mrs. Laura Lee Siciliano Other name

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
I20050221000682 IL Practitioner - Nurse Practitioner 9133172935 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041261981ILMDRegistered Nurse
209004078ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accumed Center, S.C. CurrentSince Oct 1, 2022 Accepting new patients

Locations

2010 S Arlington Heights Rd
Ste 209
Arlington Heights, IL 60005
Phone (847) 228-3200

385 Bartlett Plz
Bartlett, IL 60103
Phone (630) 289-6024

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1437551470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD",
            "address_2": "SUITE C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734832",
            "telephone_number": "630-912-2930",
            "fax_number": "630-912-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD",
            "address_2": "SUITE C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734832",
            "telephone_number": "630-912-2930",
            "fax_number": "630-912-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.-B.C., ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041261981",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209004078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SICILIANO",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "A.P.R.N.-B.C., ANP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.