Individual provider Active NPI

Bridget McDonald, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1790189132
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011441 Issued in IL
Practice address
2656 N Elston Ave
Chicago, IL 60647-2019
Phone
(773) 252-1994
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011441 IL Primary

Addresses

Primary practice location

2656 N Elston Ave
Chicago, IL 60647-2019

Mailing address

2656 N Elston Ave
Chicago, IL 60647-2019
Phone (773) 252-1994

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
I20150227000281 IL Practitioner - Nurse Practitioner 6800112392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert L Shapiro MD LTDGroup PAC ID 2264844620, 2 clinicians

Practice addresses (Care Compare)

80 E Northwest Hwy
Mount Prospect, IL 60056-3223
Phone (847) 675-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Shapiro MD LTD CurrentSince Oct 18, 2024 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Jan 31, 2023 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

800 Broadview Village Sq
Broadview, IL 60155
Phone (708) 681-2453

2656 N Elston Ave
Chicago, IL 60647
Phone (773) 252-1994

1101 W Jackson Blvd
Chicago, IL 60607
Phone (302) 279-3340

4318 W Touhy Ave
Lincolnwood, IL 60712
Phone (847) 675-9500

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

80 E Northwest Hwy
Mount Prospect, IL 60056
Phone (847) 675-9500

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

7300 191st St
Tinley Park, IL 60487
Phone (815) 464-0023

Organizations & group practices 2

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1790189132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472019",
            "telephone_number": "773-252-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472019",
            "telephone_number": "773-252-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BRIDGET",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.