Active NPI
Jill Degen
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209008481
- Practice address
- 1541 W Devon Ave
Chicago, IL 60660-1313 - Phone
- (773) 250-5222
- NPI assigned
- Jan 24, 2011
- Last updated
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209008481 | IL | Primary |
Addresses
Primary practice location
1541 W Devon Ave
Chicago, IL 60660-1313
Mailing address
PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515
Other practice location 1
5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone (773) 836-2785
Other practice location 2
5425 W Lake St
Chicago, IL 60644-2342
Phone (773) 378-3347
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1541 W Devon Ave
Chicago, IL 60660-1313
Phone (773) 250-5222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209008481 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group, PC | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | Accepting new patients |
Locations
1541 W Devon Ave
Chicago, IL 60660
Phone (312) 360-1983
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
5359 W Fullerton Ave
Chicago, IL 60639
Phone (773) 836-2785
5425 W Lake St
Chicago, IL 60644
Phone (773) 378-3347
14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113
Interoperability endpoints
- jill.dengen@oakstreethealth.gwaydirect.com
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
-
- Federally Qualified Health Center (FQHC)
- Oak Park, IL
- NPI 1871516799
-
dba PCC Austin Dental & Specialty Care Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1811292717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746715",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746715",
"telephone_number": "773-352-1515",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 W DEVON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606601313",
"telephone_number": "773-250-5222"
}
],
"practiceLocations": [
{
"address_1": "5359 W Fullerton Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606391450",
"country_code": "US",
"telephone_number": "773-836-2785",
"fax_number": "773-836-7381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5425 W Lake St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606442342",
"country_code": "US",
"telephone_number": "773-378-3347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEGEN",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209008481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.