Active NPI
Lisa Trevino, APN
- Nurse Practitioner
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.020597
- Practice address
- 301 Madison St Ste 240
Joliet, IL 60435-6549 - Phone
- (815) 740-1900
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.020597 | IL | Primary |
Addresses
Primary practice location
301 Madison St Ste 240
Joliet, IL 60435-6549
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 469-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4462
Phone (847) 920-0902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.020597 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonycares Complete Health Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Family | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Hansa Medical Groupe PLLC | Current | Accepting new patients | |
| Haveric Medical LTD | Current | Accepting new patients | |
| Cira Michigan PC | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
301 Madison St
Ste 240
Joliet, IL 60435
301 Madison St
Joliet, IL 60435
Phone (815) 725-6331
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100
521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777
2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1386804615
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Internal Medicine Physician
- Joliet, IL
- NPI 1881624047
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
-
- Family Medicine Physician
- Lexington, KY
- NPI 1639318520
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
Nurse Practitioner
-
- Diagnostic Radiology Physician
- Escanaba, MI
- NPI 1972141513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1467090308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MADISON ST STE 240",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356549",
"telephone_number": "815-740-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "LISA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.020597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.