Jordan Nicole Reilly, MACP, QMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2310 W Roosevelt Rd
Chicago, IL 60608-1131

Phone

(312) 602-1467

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1669099727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N HALSTED ST APT 26",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149161",
            "telephone_number": "704-681-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081131",
            "telephone_number": "312-602-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "credential": "MACP, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Nicole Reilley, PT, DPT
• Donna Marie Reilly-Engel, DC
• Brendan Michael Reilly, MD
• James L. Reilly, PH.D.
• Joan Reilly, APN
• Kaitlin Reilly
• Kathleen Janeen Reilly, RD
• Lauren Marissa Reilly, M.D.
• Madison Reilly
• Margaret Ann Reilly, MD

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.