Active NPI
Jennifer L Kuczero, APRN
- Nurse Practitioner
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209021430
- Practice address
- 4440 W 95TH St Ste 6409
Oak Lawn, IL 60453-2600 - Phone
- (877) 684-4327
- Fax
- (708) 520-1875
- NPI assigned
- Jul 16, 2020
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209021430 | IL | |
| Nurse Practitioner | 363L00000X | 209021430 | IL | Primary |
Addresses
Primary practice location
4440 W 95TH St Ste 6409
Oak Lawn, IL 60453-2600
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
251 E Huron St Fl 9
Chicago, IL 60611-2908
Phone (312) 695-3800
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkuczero332797@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
4440 W 95TH St
Oak Lawn, IL 60453-2600
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021430 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Single Specialty | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Single Specialty | Current | Accepting new patients |
| Advocate Health & Hospitals Corporation | Single Specialty | Current | Accepting new patients |
| Central Dupage Physician Group | Single Specialty | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
28592 Network Pl
Chicago, IL 60673
4440 W 95th St
Ste 6409
Oak Lawn, IL 60453
Phone (708) 684-8000
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000
Interoperability endpoints
- jkuczero332797@direct.myadvocateaurora.org
Organizations & group practices 5
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Oak Lawn, IL
- NPI 1629441027
Single Specialty
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
Single Specialty
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
Single Specialty
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1609484591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 W 95TH ST STE 6409",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532600",
"telephone_number": "877-684-4327",
"fax_number": "708-520-1875"
}
],
"practiceLocations": [
{
"address_1": "251 E Huron St Fl 9",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112908",
"country_code": "US",
"telephone_number": "312-695-3800",
"fax_number": "312-695-3644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUCZERO",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209021430",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209021430",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkuczero332797@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "4440 W 95th St Ste 6409",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532600",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4440 W 95th St Ste 6409",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.