Penny Brantley, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209036505 Issued in IL

Practice address

1850 W Winchester Rd Ste 220
Libertyville, IL 60048-5355

Phone

(847) 362-9050

NPI assigned

Sep 1, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1447168240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 STANFORD LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894126",
            "telephone_number": "563-320-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W WINCHESTER RD STE 220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485355",
            "telephone_number": "847-362-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "PENNY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209036505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Joseph Breen, MD, PHD
• Robert Aaron Breit, M.D.

• Family Nurse Practitioner in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.