Individual provider Active NPI

Natalie Hassoun

  • Family Nurse Practitioner
  • Burr Ridge, IL
National Provider Identifier
1649807744
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041411993 Issued in IL
Practice address
7055 High Grove Blvd
Burr Ridge, IL 60527-7628
Phone
(630) 371-9980
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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 041411993 IL Primary

Addresses

Primary practice location

7055 High Grove Blvd
Burr Ridge, IL 60527-7628

Mailing address

7055 High Grove Blvd
Burr Ridge, IL 60527-7628
Phone (630) 371-9980

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
I20201109001630 IL Practitioner - Nurse Practitioner 5991115677 Reassigns benefits to 2 organizations

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
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041411993ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Family CurrentSince Oct 1, 2020 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Apr 20, 2023 Accepting new patients
Cook County CurrentSince Apr 20, 2023 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
John H Stroger Jr Hospital Cook County Past Accepting new patients

Locations

745 McClintock Dr
Ste 360
Burr Ridge, IL 60527
Phone (630) 506-1245

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1649807744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277628",
            "telephone_number": "630-371-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277628",
            "telephone_number": "630-371-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSOUN",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041411993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.