Isabel F. Faircloth, APN,-CCNS , CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Practice address

1901 W Harrison St
Chicago, IL 60612-3714

Phone

(312) 864-4600

Fax

(312) 864-9569

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851320568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N MICHIGAN AVE",
            "address_2": "APT. 1501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112617",
            "telephone_number": "312-337-0009",
            "fax_number": "312-663-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-4600",
            "fax_number": "312-864-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCLOTH",
        "first_name": "ISABEL",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "APN,-CCNS , CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Leah Fair, M.D., PH.D.
• Mary Grace Fair, APRN
• Kyle Joseph Fairbanks, DMD
• Richard J Fairbrother, D.O.
• Carroll Fairchild
• Amanda Creden Fairgrieve, LCSW
• Fairmont Care Centre, Inc.
• Fairview Care Center of Joliet, LLC
• Fairview Care Center of Lagrange, LLC
• Maya Noelle Faison, MD

• Adult Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.