Individual provider Active NPI

Carol Taylor, APRN, CNP

  • Nurse Practitioner
  • Warrenville, IL
National Provider Identifier
1750843322
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209018707 Issued in IL
Practice address
4575 Weaver Pkwy Ste 200
Warrenville, IL 60555-4058
Phone
(630) 717-2600
Fax
(630) 718-2608
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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 209018707 IL Primary

Addresses

Primary practice location

4575 Weaver Pkwy Ste 200
Warrenville, IL 60555-4058

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctaylor212179@dulyhealthandcare.direct-ci.com

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
I20191018001670 IL Practitioner - Nurse Practitioner 9335470566 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

25 N Winfield Rd
Winfield, IL 60190-1222

40 S Clay St
Hinsdale, IL 60521-3257
Phone (630) 432-6848

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Nov 1, 2021 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Dupage Medical Group LTD CurrentSince Nov 1, 2021 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Sep 1, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

9532 Eagle Way
Chicago, IL 60678

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

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

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

4575 Weaver Pkwy
Ste 200
Warrenville, IL 60555

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

7 Blanchard Cir
Ste 102
Wheaton, IL 60189
Phone (630) 510-9009

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

Organizations & group practices 9

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1750843322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 WEAVER PKWY STE 200",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554058",
            "telephone_number": "630-717-2600",
            "fax_number": "630-718-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROL",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctaylor212179@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "4575 Weaver Pkwy Ste 200",
            "city": "Warrenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605554058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.