Individual provider Active NPI

Melissa Nancy Day

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1740830777
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019257 Issued in IL
Practice address
2331 W Chicago Ave
Chicago, IL 60622-4723
Phone
(773) 772-7858
NPI assigned
Sep 11, 2019
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019257 IL Primary

Addresses

Primary practice location

2331 W Chicago Ave
Chicago, IL 60622-4723

Mailing address

PO Box 3603
Oak Brook, IL 60522-3603
Phone (773) 772-7858

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
I20200318001624 IL Practitioner - Nurse Practitioner 7810325214 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209019257ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Aug 17, 2021 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients
Longevity Clinical LTC Associates of Illinois PLLC CurrentSince Aug 5, 2022 Accepting new patients

Locations

11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270

2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

6300 N California Ave
Chicago, IL 60659
Phone (773) 338-4244

7350 N Sheridan Rd
Chicago, IL 60626
Phone (773) 274-1000

900 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 726-1200

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

16300 Wausau Ave
South Holland, IL 60473
Phone (708) 596-5500

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1740830777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223603",
            "telephone_number": "773-772-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224723",
            "telephone_number": "773-772-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "MELISSA",
        "middle_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.