Active NPI
Allison S Morin, ANP-BC
- Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-010171
- Practice address
- 675 N Saint Clair St
Suite 21-100
Chicago, IL 60611-5975 - Phone
- (312) 695-0990
- Fax
- (312) 695-6189
- NPI assigned
- Jul 16, 2013
- Last updated
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-010171 | IL | Primary |
Addresses
Primary practice location
675 N Saint Clair St
Suite 21-100
Chicago, IL 60611-5975
Mailing address
676 N Saint Clair St
Suite 850
Chicago, IL 60611-2927
Phone (312) 695-6891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-010171 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904
1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447
675 N Saint Clair St
Ste 21100
Chicago, IL 60611
676 N Saint Clair St
Ste 850
Chicago, IL 60611
Phone (312) 695-6180
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
75 Remittance Dr
Dept 1611
Chicago, IL 60675
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
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.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Rush University Surgeons
- Surgery Physician
- Chicago, IL
- NPI 1538135819
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1699116871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "SUITE 850",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-695-6891",
"fax_number": "312-695-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N SAINT CLAIR ST",
"address_2": "SUITE 21-100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115975",
"telephone_number": "312-695-0990",
"fax_number": "312-695-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "ALLISON",
"middle_name": "S",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-010171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.