Individual provider Active NPI

Thao Thu Ong, NP-C

  • Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1710293766
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209007958 Issued in IL
Practice address
9700 Gross Point Rd
Skokie, IL 60076-1175
Phone
(847) 674-7210
Fax
(847) 674-6366
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209007958 IL Primary

Addresses

Primary practice location

9700 Gross Point Rd
Skokie, IL 60076-1175

Mailing address

9700 Gross Point Rd
Skokie, IL 60076-1175
Phone (847) 674-7210

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
I20160121000154 IL Practitioner - Nurse Practitioner 7810290152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Consultants, S.C.Group PAC ID 7911896204, 6 clinicians

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 425
Chicago, IL 60631-3704
Phone (773) 763-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209007958ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Consultants, S.C. CurrentSince Sep 15, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 3, 2016 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients

Locations

7447 W Talcott Ave
Ste 425
Chicago, IL 60631
Phone (773) 763-1818

9532 Eagle Way
Chicago, IL 60678

1000 Central St
Ste 800
Evanston, IL 60201
Phone (847) 570-2503

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1710293766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761175",
            "telephone_number": "847-674-7210",
            "fax_number": "847-674-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761175",
            "telephone_number": "847-674-7210",
            "fax_number": "847-674-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "THAO",
        "middle_name": "THU",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.