Individual provider Active NPI

Hannah Leigh Reser

  • Family Nurse Practitioner
  • Antioch, IL
National Provider Identifier
1619482965
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016461 Issued in IL
Practice address
420 Il 173
Suite 101
Antioch, IL 60002
Phone
(847) 652-9700
NPI assigned
Dec 8, 2017
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016461 IL Primary

Addresses

Primary practice location

420 Il 173
Suite 101
Antioch, IL 60002

Mailing address

801 Villa St
Elgin, IL 60120-8001

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
I20211014000633 IL Practitioner - Nurse Practitioner 8921369497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake County Immediate Care, LLCGroup PAC ID 6204158280, 15 clinicians

Practice addresses (Care Compare)

724 N Green Bay Rd
Waukegan, IL 60085-2236
Phone (847) 901-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jul 1, 2023 Accepting new patients
Lake County Immediate Care, LLC CurrentSince Aug 5, 2021 Accepting new patients
Lake County Immediate Care, LLC CurrentSince Aug 5, 2021 Accepting new patients

Locations

420 E Il Route 173
Ste 101
Antioch, IL 60002
Phone (847) 652-9700

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

9501 S Western Ave
Chicago, IL 60643
Phone (773) 344-9465

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1849 Green Bay Rd
Ste 171
Highland Park, IL 60035
Phone (224) 243-7600

724 N Green Bay Rd
Waukegan, IL 60085
Phone (847) 901-8400

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1619482965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VILLA ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601208001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 IL 173",
            "address_2": "SUITE 101",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "60002",
            "telephone_number": "847-652-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESER",
        "first_name": "HANNAH",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, IL

Sources for this page

Verify at the official NPI Registry.