Individual provider Active NPI

Eliana J Menningen

  • School Registered Nurse
  • Chicago, IL
National Provider Identifier
1699630830
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
041494686 Issued in IL
Practice address
2203 W Addison St BSMT B
Chicago, IL 60618-4941
Phone
(312) 702-0435
NPI assigned
Dec 19, 2025
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 041494686 IL Primary

Addresses

Primary practice location

2203 W Addison St BSMT B
Chicago, IL 60618-4941

Mailing address

2203 W Addison St BSMT B
Chicago, IL 60618-4941
Phone (312) 702-0435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041494686ILMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1699630830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W ADDISON ST BSMT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184941",
            "telephone_number": "312-702-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W ADDISON ST BSMT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184941",
            "telephone_number": "312-702-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNINGEN",
        "first_name": "ELIANA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IL",
            "license": "041494686",
            "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 Dec 19, 2025; 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.