Active NPI
Core Id Group LLC
- Family Nurse Practitioner
- Westchester, IL
National Provider Identifier
1801725312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CORE ID GROUP LLC
- Practice address
- 10849 Kingston St
Westchester, IL 60154-5018 - Phone
- (312) 479-0858
- NPI assigned
- May 19, 2026
- Last updated
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmy Majogo
- Title
- Owner
- Phone
- (312) 479-0858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
10849 Kingston St
Westchester, IL 60154-5018
Mailing address
10849 Kingston St
Westchester, IL 60154-5018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1215432315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1801725312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10849 KINGSTON ST",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10849 KINGSTON ST",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545018",
"telephone_number": "312-479-0858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE ID GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "MAJOGO",
"authorized_official_first_name": "EMMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-479-0858"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.