Individual provider Active NPI

Jane Vaysberg, NP-C

  • Family Nurse Practitioner
  • Zion, IL
National Provider Identifier
1700400017
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.021341 Issued in IL
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

Updated by the provider on Jun 9, 2021

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 209.021341 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826001592 IL Practitioner - Nurse Practitioner 8123445814 Reassigns benefits to 5 organizations

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
Integra Healthcare SCGroup PAC ID 0042539173, 15 clinicians

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

LicenseStateTypeSpecialty
209.021341ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC Internal Medicine CurrentSince Aug 24, 2021 Accepting new patients
Provider Partners Care Management LP CurrentSince Dec 17, 2024 Accepting new patients
Top Medical Consultants PC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Integra Healthcare SC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince May 3, 2021 Accepting new patients
Fkleung, MD, LLC PastSince Jun 1, 2020 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.

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

Verify at the official NPI Registry.