Individual provider Active NPI

Brooke Corrin Page

  • Family Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1902591456
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.027110 Issued in IL
Practice address
534 W Chestnut St Ste 210
Hinsdale, IL 60521-3175
Phone
(630) 323-7833
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 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 209.027110 IL Primary

Addresses

Primary practice location

534 W Chestnut St Ste 210
Hinsdale, IL 60521-3175

Mailing address

534 W Chestnut St Ste 210
Hinsdale, IL 60521-3175
Phone (630) 323-7833

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
I20230531002489 IL Practitioner - Nurse Practitioner 2163889437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Vision LLCGroup PAC ID 6800192519, 12 clinicians

Practice addresses (Care Compare)

18 W 140 Butterfield Rd
15TH Floor
Oakbrook Terrace, IL 60181-4810
Phone (773) 276-2655

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Internal Medicine of Illinois LLC CurrentSince Mar 25, 2023 Accepting new patients
Cardiac Vision LLC CurrentSince Dec 9, 2023 Accepting new patients

Locations

534 W Chestnut St
Ste 210
Hinsdale, IL 60521
Phone (630) 323-7833

7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680

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.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1902591456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W CHESTNUT ST STE 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213175",
            "telephone_number": "630-323-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 W CHESTNUT ST STE 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213175",
            "telephone_number": "630-323-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "BROOKE",
        "middle_name": "CORRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.