Individual provider Active NPI

Eleonora Iavorschi, APRN, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1649958976
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.027633 Issued in IL
Practice address
6545 W Archer Ave
Chicago, IL 60638-2555
Phone
(630) 974-6131
Fax
(630) 974-6313
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 209.027633 IL Primary

Addresses

Primary practice location

6545 W Archer Ave
Chicago, IL 60638-2555

Mailing address

9315 Sayre Ave
Morton Grove, IL 60053-1229
Phone (847) 226-3909

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
I20230725000404 IL Practitioner - Nurse Practitioner 4486014370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.027633ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perspective Behavioral and Pain Solutions LTD CurrentSince Jun 11, 2023 Accepting new patients
Integrity Care 2014, LLC PastSince Jul 31, 2023 Accepting new patients
First Choice Occupational Health, LLC. Past Accepting new patients

Locations

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

10700 W Higgins Rd
Ste 340
Rosemont, IL 60018
Phone (847) 324-5550

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6cca5710-6b31-4150-9a3a-a57cd751124f/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1649958976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 SAYRE AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531229",
            "telephone_number": "847-226-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382555",
            "telephone_number": "630-974-6131",
            "fax_number": "630-974-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAVORSCHI",
        "first_name": "ELEONORA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.