Active NPI
Clementina Verdin
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1760178909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.027279
- Practice address
- 3010 W 26TH St
Chicago, IL 60623-4128 - Phone
- (847) 220-4103
- Fax
- (847) 693-7029
- NPI assigned
- Apr 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.027279 | IL | Primary |
Addresses
Primary practice location
3010 W 26TH St
Chicago, IL 60623-4128
Mailing address
PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3010 W 26TH St
Chicago, IL 60623-4128
Phone (773) 377-7737
4848 W Irving Park Rd
Chicago, IL 60641-2718
Phone (855) 625-7878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.027279 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group, PC | Family | Current | Accepting new patients |
Locations
3010 W 26th St
Chicago, IL 60623
Phone (847) 220-4103
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
Organizations & group practices 1
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": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1760178909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746715",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746715",
"telephone_number": "773-352-1515",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234128",
"telephone_number": "847-220-4103",
"fax_number": "847-693-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDIN",
"first_name": "CLEMENTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-12",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.027279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.