NPIMap

Individual provider Active NPI

Meredith Julia Fils, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1508266776
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.005160 Issued in IL
Practice address
6141 N Cicero Ave
Chicago, IL 60646-4303
Phone
(773) 907-7750
Fax
(773) 907-7760
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.005160 IL Primary

Addresses

Primary practice location

6141 N Cicero Ave
Chicago, IL 60646-4303

Mailing address

2740 W Foster Ave Unit a
Chicago, IL 60625-3500
Phone (773) 878-8200

Other practice location 1

2019 W Irving Park Rd
Chicago, IL 60618-3909
Phone (773) 907-7750

Other names 1

  • Ms. Meredith Julia Campbell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mfils277146@direct.northshore.org

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.005160ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Past Accepting new patients
Rosalind Franklin University Health Past Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meredith.fils.1@3569.direct.athenahealth.com
  • Direct secure messaging: mfils277146@direct.northshore.org

Organizations & group practices 3

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": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1508266776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464303",
            "telephone_number": "773-907-7750",
            "fax_number": "773-907-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606183909",
            "country_code": "US",
            "telephone_number": "773-907-7750",
            "fax_number": "773-907-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILS",
        "first_name": "MEREDITH",
        "middle_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.005160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfils277146@direct.northshore.org",
            "affiliation": "N",
            "address_1": "6141 N Cicero Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606464303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "CAMPBELL",
            "middle_name": "JULIA",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.