Individual provider Active NPI

Theresa Scheerenberger, APRN

  • Nurse Practitioner
  • Burr Ridge, IL
National Provider Identifier
1457823544
Registry record updated Dec 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209017639 Issued in IL
Practice address
7055 High Grove Blvd
Burr Ridge, IL 60527-7628
Phone
(630) 371-9980
NPI assigned
Dec 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209017639 IL Primary

Addresses

Primary practice location

7055 High Grove Blvd
Burr Ridge, IL 60527-7628

Mailing address

612 Belmont Ave
Oswego, IL 60543-7726
Phone (630) 303-3480

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
I20190225002855 IL Practitioner - Nurse Practitioner 3577802230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209017639ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Infectious Disease PC CurrentSince Apr 24, 2021 Accepting new patients

Locations

17901 Governors Hwy
Ste 209
Homewood, IL 60430
Phone (708) 942-1276

17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100

430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1457823544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 BELMONT AVE",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437726",
            "telephone_number": "630-303-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277628",
            "telephone_number": "630-371-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEERENBERGER",
        "first_name": "THERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-30",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.