Individual provider Active NPI

Kathleen Anne O'Rourke, DNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1790374973
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026544 Issued in IL
Practice address
6439 N Sheridan Rd
Chicago, IL 60626-5364
Phone
(773) 508-2530
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209026544 IL
Family Nurse Practitioner 363LF0000X 209.026544 IL Primary

Addresses

Primary practice location

6439 N Sheridan Rd
Chicago, IL 60626-5364

Mailing address

6439 N Sheridan Rd
Chicago, IL 60626-5364
Phone (773) 508-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.026544ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC Nurse Practitioner CurrentSince Jan 23, 2023 Accepting new patients
Loyola University Chicago Wellness Center CurrentSince Sep 5, 2023 Accepting new patients

Locations

1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

6439 N Sheridan Rd
Chicago, IL 60626
Phone (773) 508-2530

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1790374973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265364",
            "telephone_number": "773-508-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265364",
            "telephone_number": "773-508-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209026544",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.