Individual provider Active NPI

Kelly McEntee, APRN

  • Women's Health Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1639060197
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
041.587136 Issued in IL
Practice address
4711 Golf Rd Ste 920
Skokie, IL 60076-1247
Phone
(855) 729-2272
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 041.587136 IL Primary
Women's Health Clinical Nurse Specialist 364SW0102X APRN.CNP.0039570 OH

Addresses

Primary practice location

4711 Golf Rd Ste 920
Skokie, IL 60076-1247

Mailing address

4711 Golf Rd Ste 920
Skokie, IL 60076-1247
Phone (855) 729-2272

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
I20260128000803 IL Practitioner - Nurse Practitioner 1759869142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2542 S Lowe Ave
Chicago, IL 60616-1811

2744 N Western Ave
Chicago, IL 60647-2017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.587136ILMDWomen's Health Nurse Practitioner
APRN.CNP.0039570OHMDWomen's Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
American Women's Professional Group Corp CurrentSince Dec 20, 2025 Accepting new patients
Access Health Care Center PastSince Dec 28, 2025 Accepting new patients

Locations

2744 N Western Ave
Chicago, IL 60647
Phone (773) 772-7575

110 S River Rd
Ste 7
Des Plaines, IL 60016
Phone (847) 294-9614

Organizations & group practices 2

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1639060197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 920",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761247",
            "telephone_number": "855-729-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 920",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761247",
            "telephone_number": "855-729-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTEE",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "041.587136",
            "primary": true
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.0039570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.