Active NPI
Simone Bryant
- Nurse Practitioner
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.020669
- Practice address
- 477 E Butterfield Rd Ste 400
Lombard, IL 60148-4881 - Phone
- (312) 728-4728
- Fax
- (312) 728-4729
- NPI assigned
- Jan 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.020669 | IL | Primary |
Addresses
Primary practice location
477 E Butterfield Rd Ste 400
Lombard, IL 60148-4881
Mailing address
477 E Butterfield Rd Ste 400
Lombard, IL 60148-4881
Phone (312) 728-4728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 Luther Dr
Crown Point, IN 46307-5043
Phone (219) 663-3860
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 45.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.020669 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants LLC | Current | Accepting new patients | |
| Integrated Rehab Consultants LLC | Current | Accepting new patients |
Locations
1201 Dixie Hwy
Beecher, IL 60401
Phone (708) 946-2600
2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599
2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
1660 Oakton Pl
Des Plaines, IL 60018
Phone (847) 299-5588
19330 S Cottage Grove Ave
Glenwood, IL 60425
Phone (708) 758-6200
1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111
2145 E 170th St
South Holland, IL 60473
Phone (708) 849-5000
1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110
203 W Franciscan Dr
Crown Point, IN 46307
Phone (219) 661-5100
950 Park East Blvd
Lafayette, IN 47905
Phone (765) 237-5613
2400 Silhavy Rd
Valparaiso, IN 46383
Phone (219) 462-1778
6685 E 117th Ave
Winfield, IN 46307
Phone (219) 662-0642
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.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
IN
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1316829146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1598304941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 E BUTTERFIELD RD STE 400",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484881",
"telephone_number": "312-728-4728",
"fax_number": "312-728-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 E BUTTERFIELD RD STE 400",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484881",
"telephone_number": "312-728-4728",
"fax_number": "312-728-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "SIMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.020669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.