Active NPI
Laura Kathleen Duffy, APN
- Pediatric Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 277.000802
- Practice address
- 225 E Chicago Ave
Chicago, IL 60611-2991 - Phone
- (312) 227-6552
- Fax
- (312) 227-9405
- NPI assigned
- Dec 5, 2015
- Last updated
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.013346 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 277.000802 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave
4E
Chicago, IL 60611-2991
Phone (312) 227-6000
Other practice location 1
2515 N Clark St Ste 900
Chicago, IL 60614-2730
Phone (312) 227-8800
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.013346 | IL | MD | Nurse Practitioner |
| 277.000802 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children's Medical Group Inc | Current | Accepting new patients | |
| Lurie Children's Medical Group, LLC | Past | Accepting new patients |
Locations
Claims Remittance
Carol Stream, IL 60122
225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415
225 E Chicago Ave
#118
Chicago, IL 60611
225 E Chicago Ave
#4
Chicago, IL 60611
Phone (312) 227-3210
2515 N Clark St
Ste 900
Chicago, IL 60614
Phone (312) 227-6460
737 N Michigan Ave
Ste 2040
Chicago, IL 60611
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, 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": "1449273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1598130379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"address_2": "4E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6552",
"fax_number": "312-227-9405"
}
],
"practiceLocations": [
{
"address_1": "2515 N Clark St Ste 900",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606142730",
"country_code": "US",
"telephone_number": "312-227-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUFFY",
"first_name": "LAURA",
"middle_name": "KATHLEEN",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-05",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.013346",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "277.000802",
"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 Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.