Julia McCann-Khludenev, DNP, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71007559A Issued in IN

Practice address

153 1/2 Broadway Ave.
Melrose Park, IL 60160

Phone

(708) 345-8965

NPI assigned

Oct 17, 2017

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

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cook Physician Services, P.C. 59 clinicians

Integra Healthcare SC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cook Physician Services, P.C.

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1487416376

  IL, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Integra Healthcare SC

  • Internal Medicine Physician
  • Waukegan, IL
  • NPI 1083000350

  IL

  Medicare reassignment Care Compare group NPD
• Broadway Medical Center

  • Family Medicine Physician
  • Melrose Park, IL
  • NPI 1760429609

  IL

  Medicare reassignment NPD
• Chakra Wellness and Palliative Care PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Crown Point, IN
  • NPI 1811572951
  NPD

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

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191

  Hospital

  Care Compare affiliation
• Waukegan Illinois Hospital Company LLC

  • General Acute Care Hospital
  • Waukegan, IL
  • NPI 1639120694

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1780195701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 1/2 BROADWAY AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-345-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 1/2 BROADWAY AVE.",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-345-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN-KHLUDENEV",
        "first_name": "JULIA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007559A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Albert Massari, DC
• Salome Elizabeth Mathews
• Richard C. Mattis, M.D.
• Samreen Mattoo, M.D.
• Alexandria McBride, M.S.
• Peter Wesley McCauley Sr., M.D.
• John E McConnell, DO
• Kim McCoy
• Reginald James McCoy Jr., CPHT, MBA, MPA.
• Tameka Tyrese McFarland, BA

• All providers in Melrose Park, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.

Verify at the official NPI Registry.