Individual provider Active NPI

Anne Marie Lillwitz

  • Nurse Practitioner
  • Geneva, IL
National Provider Identifier
1609041946
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277000507 Issued in IL
Practice address
2800 Keslinger Rd Ste 160
Geneva, IL 60134-3753
Phone
(630) 232-7200
Fax
(630) 232-2288
NPI assigned
Apr 28, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277000507 IL Primary

Addresses

Primary practice location

2800 Keslinger Rd Ste 160
Geneva, IL 60134-3753

Mailing address

2800 Keslinger Rd Ste 160
Geneva, IL 60134-3753
Phone (630) 232-7200

Other practice location 1

302 Randall Rd Ste 106
Geneva, IL 60134-4209
Phone (630) 232-7200

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
I20200320000080 IL Practitioner - Nurse Practitioner 5294163580 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Apr 8, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Apr 8, 2020 Accepting new patients
New Beginnings Pediatrics SC Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

2800 Keslinger Rd
Ste 160
Geneva, IL 60134
Phone (630) 232-7200

302 Randall Rd
Ste 106
Geneva, IL 60134
Phone (630) 232-7200

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609041946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 KESLINGER RD STE 160",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343753",
            "telephone_number": "630-232-7200",
            "fax_number": "630-232-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 KESLINGER RD STE 160",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343753",
            "telephone_number": "630-232-7200",
            "fax_number": "630-232-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Randall Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344209",
            "country_code": "US",
            "telephone_number": "630-232-7200",
            "fax_number": "630-232-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLWITZ",
        "first_name": "ANNE MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.