Individual provider Active NPI

Esther M Harris, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Grayslake, IL
National Provider Identifier
1790034387
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.009777 Issued in IL
Practice address
34121 N US Highway 45 Ste 210
Grayslake, IL 60030-1774
Phone
(224) 602-3472
NPI assigned
Aug 29, 2012
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009777 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.009777 IL Primary

Addresses

Primary practice location

34121 N US Highway 45 Ste 210
Grayslake, IL 60030-1774

Mailing address

34121 N US Highway 45 Ste 210
Grayslake, IL 60030-1774
Phone (874) 732-1354

Other practice location 1

2323 Grand Ave
Waukegan, IL 60085-3312
Phone (847) 666-3494

Other names 1

  • Miss Esther M Shanor Former name

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
I20121206000262 IL Practitioner - Nurse Practitioner 6800048430 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.009777ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center Inc CurrentSince Jun 11, 2018 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Sep 12, 2012 Accepting new patients
Erie Family Health Center Inc CurrentSince Jun 11, 2018 Accepting new patients
Harris Health LLC Family Current Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients

Locations

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-2056

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

34121 N US Highway 45
Ste 210
Grayslake, IL 60030
Phone (224) 544-9749

2323 Grand Ave
Waukegan, IL 60085
Phone (847) 666-2427

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

Organizations & group practices 5

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1790034387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45 STE 210",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301774",
            "telephone_number": "874-732-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45 STE 210",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301774",
            "telephone_number": "224-602-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600853312",
            "country_code": "US",
            "telephone_number": "847-666-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ESTHER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009777",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.009777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "SHANOR",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.