Individual provider Active NPI

Sherryl Estorque, APNP

  • Family Nurse Practitioner
  • North Chicago, IL
National Provider Identifier
1588125116
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018868 Issued in IL
Practice address
3001 Greenbay Rd.,
North Chicago, IL 60064
Phone
(847) 610-1900
Fax
(224) 610-2958
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9473-33 WI
Family Nurse Practitioner 363LF0000X 209018868 IL Primary

Addresses

Primary practice location

3001 Greenbay Rd.,
North Chicago, IL 60064

Mailing address

3001 Greenbay Rd
North Chicago, IL 60064
Phone (847) 688-1900

Other practice location 1

6430 Green Bay Rd
Kenosha, WI 53142-2948
Phone (262) 925-0535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20200215000172 WI Practitioner - Nurse Practitioner 5496181281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9473-33WIMDAcute Care Nurse Practitioner
209018868ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kenosha Urgicare CurrentSince Feb 1, 2020 Accepting new patients
The Ruth Institute of Integrative Care LLC PastSince Mar 3, 2024 Accepting new patients

Locations

6430 Green Bay Rd
Ste 104
Kenosha, WI 53142
Phone (262) 925-0535

6430 Green Bay Rd
Kenosha, WI 53142
Phone (262) 653-3980

Organizations & group practices 2

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1588125116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GREENBAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "847-688-1900",
            "fax_number": "224-610-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREENBAY RD.,",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "847-610-1900",
            "fax_number": "224-610-2958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6430 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531422948",
            "country_code": "US",
            "telephone_number": "262-925-0535",
            "fax_number": "262-925-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTORQUE",
        "first_name": "SHERRYL",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "9473-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.