Jillian Breann Vander Pol, RN, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209023316 Issued in IL

Practice address

345 Ashland Ave
River Forest, IL 60305-2109

Phone

(708) 488-0072

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1576

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elizabeth R Nye M.D. ,S.C.

  dba Nye Partners in Women's Health

  • Obstetrics & Gynecology Physician
  • River Forest, IL
  • NPI 1821211129
  NPD
• Lakeshore Obstetrics and Gynecology LLC

  • Obstetrics Physician
  • Chicago, IL
  • NPI 1588651319
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1558939124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E ILLINOIS ST APT 2609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115053",
            "telephone_number": "219-613-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 ASHLAND AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052109",
            "telephone_number": "708-488-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER POL",
        "first_name": "JILLIAN",
        "middle_name": "BREANN",
        "credential": "RN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209023316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Tomera, MD
• Daniel G. Torres, M.D.
• Elizabeth Treatman, M.A., CCC-SLP
• Robin Ann Uchitelle, MD
• Russell Paul Umbricht, DDS
• Gabriela Velazquez
• VHS Acquisition Subsidiary Number 4 Inc (River Forest Breast Care Center)
• VHS Acquisition Subsidiary Number 4 Inc (River Forest Advanced Imaging Center)
• VHS Acquisition Subsidiary Number 4 Inc (River Forest Cardiovascular Center)
• VHS West Suburban Medical Center Inc (Center Pharmacy)

• Women's Health Nurse Practitioner in River Forest, IL
• Providers in River Forest, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.