Individual provider Active NPI

Lea Foy Os Capili

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1841984176
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026636 Issued in IL
Practice address
3943 W 31St St
Chicago, IL 60623-4936
Phone
(773) 523-8773
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 209.026636 IL Primary

Addresses

Primary practice location

3943 W 31St St
Chicago, IL 60623-4936

Mailing address

5252 N Glenwood Ave Apt H2
Chicago, IL 60640-2236
Phone (210) 929-0147

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
I20231206000161 IL Practitioner - Nurse Practitioner 9436508272 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox Community Health Center NFPGroup PAC ID 7618126327, 2 clinicians

Practice addresses (Care Compare)

1361 W Fremont St
Galesburg, IL 61401-2436
Phone (309) 344-2225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.026636ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Nov 6, 2023 Accepting new patients
Great Health Medical Afil, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Nov 6, 2023 Accepting new patients
Vital Link Physician Group PLLC CurrentSince Jan 3, 2026 Accepting new patients

Locations

6201 W Howard St
Ste 207
Niles, IL 60714
Phone (786) 897-7407

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1841984176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 N GLENWOOD AVE APT H2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402236",
            "telephone_number": "210-929-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 W 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234936",
            "telephone_number": "773-523-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPILI",
        "first_name": "LEA",
        "middle_name": "FOY OS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.