Active NPI
Jane Vaysberg, NP-C
- Family Nurse Practitioner
- Zion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.021341
- Practice address
- 2520 Elisha Avenue
Cancer Treatment Centers of America
Zion, IL 60099 - Phone
- (800) 322-9183
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.021341 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 209021341 | IL |
Addresses
Primary practice location
2520 Elisha Avenue
Cancer Treatment Centers of America
Zion, IL 60099
Mailing address
2361 Paysphere Circle
Cancer Treatment Centers of America
Chicago, IL 60674
Phone (800) 322-9183
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2504 Washington St
Waukegan, IL 60085-4983
Phone (847) 623-7590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.021341 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Internal Medicine | Current | Accepting new patients |
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Top Medical Consultants PC | Internal Medicine | Current | Accepting new patients |
| Integra Healthcare SC | Internal Medicine | Current | Accepting new patients |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| Fkleung, MD, LLC | Past | Accepting new patients |
Locations
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
4655 W Chase Ave
Lincolnwood, IL 60712
Phone 8472623800202
9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210
2504 Washington St
Ste 102
Waukegan, IL 60085
Phone (847) 623-7590
2504 Washington St
Waukegan, IL 60085
Phone (847) 336-2288
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
2534 Elim Ave
Zion, IL 60099
Phone (847) 328-6503
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Waukegan, IL
- NPI 1083000350
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Internal Medicine Physician
- Glenview, IL
- NPI 1194497941
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Endocrinology, Diabetes & Metabolism Physician
- Waukegan, IL
- NPI 1205159076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1700400017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2361 PAYSPHERE CIRCLE",
"address_2": "CANCER TREATMENT CENTERS OF AMERICA",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60674",
"telephone_number": "800-322-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ELISHA AVENUE",
"address_2": "CANCER TREATMENT CENTERS OF AMERICA",
"city": "ZION",
"state": "IL",
"postal_code": "60099",
"telephone_number": "800-322-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAYSBERG",
"first_name": "JANE",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.021341",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "209021341",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.