Active NPI
Adam Bielesch, MSN, BSN
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1477293892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209025008
- Practice address
- 1350 W Fullerton Ave Apt 204
Chicago, IL 60614-1964 - Phone
- (773) 315-2664
- NPI assigned
- Apr 1, 2022
- Sex
- Male
- 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 | 209025008 | IL | Primary |
Addresses
Primary practice location
1350 W Fullerton Ave Apt 204
Chicago, IL 60614-1964
Mailing address
1350 W Fullerton Ave Apt 204
Chicago, IL 60614-1964
Phone (773) 315-2664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209025008 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1477293892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 W FULLERTON AVE APT 204",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141964",
"telephone_number": "773-315-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 W FULLERTON AVE APT 204",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141964",
"telephone_number": "773-315-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIELESCH",
"first_name": "ADAM",
"credential": "MSN, BSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209025008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.