Dina M Froustis, APRN, NP-C
Individual provider Active NPI Nurse Practitioner · Libertyville, IL
NPI 1487224747 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1487224747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209023434 (IL)
- Practice address
- 1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312 - Phone
- (847) 816-6335
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chicago Integrative Center for Psychology LLC
Practice addresses (Care Compare)
900 N Shore Dr
Suite 120
Lake Bluff, IL 60044-2225
Phone (847) 615-1698
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230309001088 | IL | Practitioner - Nurse Practitioner | 3072983634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209023434 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Integrative Center for Psychology LLC | Current |
Accepting new patients | |
| Ganesha Institute of Neurology and Psychiatry SC | Past |
Accepting new patients |
Locations
900 N Shore Dr
Ste 120
Lake Bluff, IL 60044
Phone (847) 615-1698
8707 Skokie Blvd
Ste 210
Skokie, IL 60077
Phone (847) 615-1698
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209023434 | IL | Yes |
Addresses
Primary practice location
1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312
Mailing address
1860 W Winchester Rd
Libertyville, IL 60048-5351
Phone (847) 816-6335
Other providers in Libertyville, IL
- Shayna Friedman
- Laura Helen Friedrich
- Christine Nicole Friedrichs
- Matthew Frisque
- Maureen Fritz
- Elizabeth Fuentes
- Alyssa L Fuggiti
- Ann Elizabeth Fulk
- Anuja Gadgil
- Danielle L Gaffke
All providers in Libertyville, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.