Laurel Bergren, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.014535 Issued in IL

Practice address

7008 Cermak Rd
Berwyn, IL 60402-2151

Phone

(708) 795-7040

Fax

(708) 795-5664

NPI assigned

Sep 21, 2016

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIHJBA/Endpoint/EIHJBA

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.

• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334
  Medicare reassignment NPD
• Inpatient Consultants of Illinois, P.C.

  • Hospitalist Physician
  • Hinsdale, IL
  • NPI 1548442569
  Medicare reassignment NPD
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946

  Family

  Medicare reassignment NPD
• Hansa Medical Groupe PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1386804615
  NPD
• Illinois Back and Joint PLLC

  • Sports Medicine (Family Medicine) Physician
  • Orland Park, IL
  • NPI 1750985214
  NPD
• Inpatient Consultants of Illinois, PC

  • Hospitalist Physician
  • Hinsdale, IL
  • NPI 1760630099
  NPD
• Inpatient Consultants of Illinois, P.C.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1003850843
  NPD
• Injurycare Limited

  • Internal Medicine Physician
  • Deerfield, IL
  • NPI 1356187694
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487102299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875423",
            "telephone_number": "630-221-0200",
            "fax_number": "630-384-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022151",
            "telephone_number": "708-795-7040",
            "fax_number": "708-795-5664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 N Wilke Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600041400",
            "country_code": "US",
            "telephone_number": "224-795-5700",
            "fax_number": "224-795-5705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11528 183rd Pl",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604679467",
            "country_code": "US",
            "telephone_number": "708-326-1700",
            "fax_number": "708-326-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Old Glenview Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912999",
            "country_code": "US",
            "telephone_number": "224-408-8031",
            "fax_number": "224-408-2916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1751 S Naperville Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601895896",
            "country_code": "US",
            "telephone_number": "630-682-9700",
            "fax_number": "630-682-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGREN",
        "first_name": "LAUREL",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Benigni, MD
• Sara Lynn Bennett, DVM, MS, DACVB
• Aubrey Benson
• Neal Bente, MD
• Lauren Berger, MSW
• Meron Yafet Berhane
• Michael H Berkson, MD
• Ricardo Bernales, MD
• Rachel Jean Bernardo, DO
• Sheila Anne Berndt, M.D.

• Family Nurse Practitioner in Berwyn, IL
• Providers in Berwyn, 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 Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.