Individual provider Active NPI

Dori Hunt, ANP

  • Acute Care Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1619260932
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209008769 Issued in IL
Practice address
4550 Memorial Dr
Ste. 340
Belleville, IL 62226-5372
Phone
(618) 257-6220
Fax
(618) 257-6679
NPI assigned
May 19, 2011
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209008769 IL Primary

Addresses

Primary practice location

4550 Memorial Dr
Ste. 340
Belleville, IL 62226-5372

Mailing address

4550 Memorial Dr
Suite 340
Belleville, IL 62226-5372
Phone (618) 257-6220

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
I20120323000491 IL Practitioner - Nurse Practitioner 9638339955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personic Wound Care Illinois PLLCGroup PAC ID 6901278514, 6 clinicians

Practice addresses (Care Compare)

433 W Van Buren St
Unit 555N
Chicago, IL 60607-0433
Phone (855) 479-4217

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Personic Wound Care Illinois PLLC CurrentSince Aug 21, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Aug 20, 2019 Accepting new patients
Apex Hospice and Palliative Care, Inc. CurrentSince Nov 1, 2021 Accepting new patients
PC Associates LLC Past Accepting new patients

Locations

2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

433 W Van Buren St
Ste 555N
Chicago, IL 60607

433 W Van Buren St
Unit 555N
Chicago, IL 60607

66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400

3450 Oakton St
Ste 300
Skokie, IL 60076

510 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280

Organizations & group practices 4

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1619260932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MEMORIAL DR",
            "address_2": "SUITE 340",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265372",
            "telephone_number": "618-257-6220",
            "fax_number": "618-257-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MEMORIAL DR",
            "address_2": "STE. 340",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265372",
            "telephone_number": "618-257-6220",
            "fax_number": "618-257-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "DORI",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209008769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.