Active NPI
Klinivity Healthcare LLC
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1508782509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- KLINIVITY HEALTHCARE LLC
- Practice address
- 11836 S Hale Ave
Chicago, IL 60643-4826 - Phone
- (630) 247-1948
- NPI assigned
- Jun 25, 2026
- Last updated
- Jun 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayla Shillcutt
- Title
- Owner
- Phone
- (630) 247-1948
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
11836 S Hale Ave
Chicago, IL 60643-4826
Mailing address
11836 S Hale Ave
Chicago, IL 60643-4826
Phone (630) 247-1948
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Glenview, IL
- NPI 1427735687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1508782509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11836 S HALE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434826",
"telephone_number": "630-247-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11836 S HALE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434826",
"telephone_number": "630-247-1948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLINIVITY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "SHILLCUTT",
"authorized_official_first_name": "KAYLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-247-1948"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"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 Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.