Individual provider Active NPI

Connie Berhane, APN

  • Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1679309157
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.030501 Issued in IL
Practice address
40 S Clay St Ste 210
Hinsdale, IL 60521-3257
Phone
(630) 323-3540
Fax
(630) 323-9079
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.030501 IL
Nurse Practitioner 363L00000X 209.030501 IL Primary

Addresses

Primary practice location

40 S Clay St Ste 210
Hinsdale, IL 60521-3257

Mailing address

Pob 7132960
Chicago, IL 60677-0001
Phone (630) 469-9200

Other practice location 1

3 Erie Ct Ste L500
Oak Park, IL 60302-2519
Phone (708) 763-2435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cberhane302426@dulyhealthandcare.direct-ci.com Direct

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
I20250107002383 IL Practitioner - Nurse Practitioner 4284162066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 665-6200

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

25 N Winfield Rd
Winfield, IL 60190-1222

40 S Clay St
Hinsdale, IL 60521-3257
Phone (630) 432-6848

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.030501ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Dec 1, 2024 Accepting new patients
Dupage Medical Group LTD CurrentSince May 5, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince May 5, 2025 Accepting new patients

Locations

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

40 S Clay St
Ste 210
Hinsdale, IL 60521
Phone (630) 323-3540

3 Erie Ct
Ste L500
Oak Park, IL 60302
Phone (708) 763-2435

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

7411 Lake St
Ste 1120
River Forest, IL 60305
Phone (708) 488-1490

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

Interoperability endpoints

  • Direct secure messaging: connie.berhane.1@18552.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1679309157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 7132960",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST STE 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-323-3540",
            "fax_number": "630-323-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Erie Ct Ste L500",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022519",
            "country_code": "US",
            "telephone_number": "708-763-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERHANE",
        "first_name": "CONNIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.030501",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.030501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cberhane302426@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "40 S Clay St Ste 210",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.