Individual provider Active NPI

Marcus Larrieu, APN

  • Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1497314397
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.019399 Issued in IL
Practice address
10837 S Cicero Ave
Oak Lawn, IL 60453-6458
Phone
(773) 636-7575
NPI assigned
Jun 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 209.019399 IL Primary

Addresses

Primary practice location

10837 S Cicero Ave
Oak Lawn, IL 60453-6458

Mailing address

2922 Imperial CT
Flossmoor, IL 60422-2210
Phone (773) 318-8286

Other names 1

  • Marcus Larrieu Professional name

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
I20190924002428 IL Practitioner - Nurse Practitioner 7618207275 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvey Emergency Physicians PLLCGroup PAC ID 9436486560, 50 clinicians
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1600 Torrence Ave
Calumet City, IL 60409-5430
Phone (954) 939-5000

350 N Bradley Blvd
Bradley, IL 60915-1221
Phone (815) 348-9320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.019399ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Emergency Physicians, PLLC Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 11, 2019 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
First Care Family Clinic, S.C. CurrentSince Mar 1, 2023 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince May 9, 2022 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Sep 11, 2019 Accepting new patients

Locations

662 N Convent St
Bourbonnais, IL 60914
Phone (815) 802-0088

350 N Bradley Blvd
Bradley, IL 60915
Phone (815) 348-9320

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1600 Torrence Ave
Calumet City, IL 60409
Phone (708) 730-1300

29373 Network Pl
Chicago, IL 60673

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

515 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-7882

1420 Busse Rd
Elk Grove Vlg, IL 60007
Phone (847) 653-0142

19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

70 Meadowview Ctr
Ste 200
Kankakee, IL 60901
Phone (815) 802-0000

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

Interoperability endpoints

  • Direct secure messaging: mlarrieurn236222@uchospital.direct-ci.com

Organizations & group practices 6

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1497314397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 IMPERIAL CT",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222210",
            "telephone_number": "773-318-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536458",
            "telephone_number": "773-636-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIEU",
        "first_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.019399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCUS",
            "last_name": "LARRIEU",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.