Individual provider Active NPI

Alyssa Luptak

  • Family Nurse Practitioner
  • North Chicago, IL
National Provider Identifier
1801450903
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019335 Issued in IL
Practice address
1 N Waukegan Rd
North Chicago, IL 60064-1802
Phone
(847) 936-5800
Fax
(847) 936-5824
NPI assigned
Apr 24, 2019
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 209.019335 IL Primary

Addresses

Primary practice location

1 N Waukegan Rd
North Chicago, IL 60064-1802

Mailing address

1 N Waukegan Rd
North Chicago, IL 60064-1802
Phone (847) 936-5800

Other practice location 1

26525 N Riverwoods Blvd
Mettawa, IL 60045-3440
Phone (847) 938-9640

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
I20191217002873 IL Practitioner - Nurse Practitioner 6002240405 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.019335ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Feb 28, 2022 Accepting new patients
Naveed H Elahi DC SC CurrentSince Nov 18, 2019 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Jun 3, 2025 Accepting new patients
Premise Health of Illinois Medical, PC PastSince Jun 3, 2025 Accepting new patients
Premise Health of Illinois Medical PC PastSince Aug 1, 2021 Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

1 N Waukegan Rd
North Chicago, IL 60064
Phone (847) 936-5800

29 N Northwest Hwy
Palatine, IL 60067
Phone (847) 931-5555

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

1037 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 466-7392

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1801450903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WAUKEGAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641802",
            "telephone_number": "847-936-5800",
            "fax_number": "847-936-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WAUKEGAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641802",
            "telephone_number": "847-936-5800",
            "fax_number": "847-936-5824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26525 N Riverwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Mettawa",
            "state": "IL",
            "postal_code": "600453440",
            "country_code": "US",
            "telephone_number": "847-938-9640",
            "fax_number": "847-938-9654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPTAK",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.