Individual provider Active NPI

Vladislava Brennan, APRN

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1891474268
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209024584 Issued in IL
Practice address
6106 N McVicker Ave
Chicago, IL 60646-3811
Phone
(312) 714-0017
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209024584 IL Primary

Addresses

Primary practice location

6106 N McVicker Ave
Chicago, IL 60646-3811

Mailing address

6106 N McVicker Ave
Chicago, IL 60646-3811
Phone (312) 714-0017

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
I20231128001901 IL Practitioner - Nurse Practitioner 2466800701 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
Group practices
Advanced Rehabilitation Care, LLCGroup PAC ID 8628253259, 21 clinicians

Practice addresses (Care Compare)

5140 N California Ave
Chicago, IL 60625-3645
Phone (773) 878-8200

9700 Gross Point Rd
Skokie, IL 60076-1175
Phone (847) 674-7210

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation Care, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1891474268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 N MCVICKER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463811",
            "telephone_number": "312-714-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 N MCVICKER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463811",
            "telephone_number": "312-714-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "VLADISLAVA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.