Dori Hunt, ANP
Individual provider Active NPI Acute Care Nurse Practitioner · Belleville, IL
NPI 1619260932 · NPPES record last updated Oct 17, 2019
Key facts
- NPI
- 1619260932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 209008769 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
433 W Van Buren St
Unit 555N
Chicago, IL 60607-0433
Phone (855) 479-4217
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120323000491 | IL | Practitioner - Nurse Practitioner | 9638339955 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209008769 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Current |
Accepting new patients | |
| Apex Hospice and Palliative Care, Inc. | Current |
Accepting new patients | |
| Personic Wound Care Illinois PLLC | Current |
Accepting new patients | |
| PC Associates LLC | Past | Accepting new patients |
Locations
2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000
433 W Van Buren St
Ste 555N
Chicago, IL 60607
66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400
433 W Van Buren St
Unit 555N
Chicago, IL 60607
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
3450 Oakton St
Ste 300
Skokie, IL 60076
510 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209008769 | IL | Yes |
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
Other providers in Belleville, IL
- Kimberly Marie Huelsmann
- Anna Hufendick
- Danielle Rae Hughes
- Michael Steven Hughes
- Kimberly Rachel Hulen
- Ahmed Hamdy Hussein
- Laura Hutcheson I
- Mary Hutchinson
- Courtney L Hutkowski
- HW Holdings
All providers in Belleville, IL · Acute Care Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.