Individual provider Active NPI

Quentin Boyd, APN

  • Family Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1568952612
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017636 Issued in IL
Practice address
7501 Grand Ave
Gurnee, IL 60031-1551
Phone
(847) 265-9641
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209017636 IL Primary

Addresses

Primary practice location

7501 Grand Ave
Gurnee, IL 60031-1551

Mailing address

4190 Midlane Dr
Wadsworth, IL 60083-9530
Phone (847) 293-9443

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
I20180611000604 IL Practitioner - Nurse Practitioner 2567717812 Reassigns benefits to 3 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
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1420 Busse Rd
Elk Grove Village, IL 60007-5324
Phone (847) 653-0142

2201 Oak Park Ave
Berwyn, IL 60402-2220
Phone (312) 324-0222

335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone (630) 735-1400

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

6140 N Broadway St
Chicago, IL 60660-2538
Phone (773) 435-9028

6595 E State St
Rockford, IL 61108-2542
Phone (815) 226-1300

6831 N Ave
Oak Park, IL 60302-1023
Phone (847) 653-0130

8630 W Golf Rd
Niles, IL 60714-5600
Phone (847) 299-0009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Mar 11, 2024 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Jun 1, 2022 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

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

800 W Fulton Market
Fl 12
Chicago, IL 60607

825 S State St
Chicago, IL 60605
Phone (312) 566-9510

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

416 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 979-1112

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (815) 654-2300

Interoperability endpoints

  • Direct secure messaging: qboyd222329@direct.edward.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1568952612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 MIDLANE DR",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600839530",
            "telephone_number": "847-293-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-265-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "QUENTIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.