Individual provider Active NPI

Elizabeth A Blankenship, DNP

  • Primary Care Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1861021248
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209.021019 Issued in IL
Practice address
1725 W Harrison St Ste 818
Chicago, IL 60612-3895
Phone
(312) 942-5500
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209.021019 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 818
Chicago, IL 60612-3895

Mailing address

125 S Green St Apt 1005a
Chicago, IL 60607-3717
Phone (708) 574-1806

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
I20200521002384 IL Practitioner - Nurse Practitioner 7810318128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1411 S Michigan Ave
Chicago, IL 60605-2810

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1725 W Harrison St
Chicago, IL 60612-3863

1725 W Harrison St
Suite 818
Chicago, IL 60612-3895
Phone (312) 942-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.021019ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince Jun 1, 2020 Accepting new patients
Rush University Medical Group CurrentSince Jun 1, 2020 Accepting new patients

Locations

2020 Ogden Ave
Ste 400
Aurora, IL 60504
Phone (630) 375-2925

1725 W Harrison St
Ste 818
Chicago, IL 60612
Phone (312) 942-4444

1411 S Michigan Ave
Fl 5
Chicago, IL 60605
Phone (312) 454-2700

1030 N Clark St
Ste 647
Chicago, IL 60610
Phone (312) 291-9083

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 810
Chicago, IL 60612
Phone (312) 942-6500

2800 W 95th St
Ste 200
Evergreen Park, IL 60805

2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (312) 947-7546

520 S Maple Ave
Fl 3
Oak Park, IL 60304
Phone (708) 660-5900

Interoperability endpoints

  • Direct secure messaging: ehoran139210@direct.rush.rush-health.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1861021248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S GREEN ST APT 1005A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073717",
            "telephone_number": "708-574-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 818",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123895",
            "telephone_number": "312-942-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.021019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.