Jill P Pankus, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209001706 Issued in IL

Practice address

124 Harrison St
Barrington, IL 60010-3007

Phone

(847) 381-7618

Fax

(847) 381-9198

NPI assigned

Mar 29, 2007

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lawrence L. Kerns, M.D. & Associates

  • Mental Health Counselor
  • Barrington, IL
  • NPI 1740479955
  NPD (past)
• Presence Behavioral Health

  dba ProCare Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Melrose Park, IL
  • NPI 1477622298
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1750401303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W FULLERTON AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-782-2800",
            "fax_number": "773-782-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HARRISON ST",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103007",
            "telephone_number": "847-381-7618",
            "fax_number": "847-381-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKUS",
        "first_name": "JILL",
        "middle_name": "P",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209001706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "209001706",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "309002557",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Padron, LMFT
• Marco Pagani, M.D.
• Arden Kathleen Pahlman, DC
• Jenna Palumbo
• Surbhi C Panchal, MD
• Nita N. Parekh, MD
• Catherine K Park Leonard, MD
• Joanne Gail Parks, M.D.
• Juliana Jean Parry, D.D.S.
• Alpina Patel, PHARM.D.

• Pediatric Nurse Practitioner in Barrington, IL
• Providers in Barrington, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.