Individual provider Active NPI

Emme Eleyna Deamont, APRN

  • Women's Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1902667132
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209.028901 Issued in IL
Practice address
30 N Michigan Ave Ste 300
Chicago, IL 60602-4495
Phone
(312) 726-3917
NPI assigned
Jan 16, 2024
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209.028901 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 300
Chicago, IL 60602-4495

Mailing address

30 N Michigan Ave Ste 300
Chicago, IL 60602-4495
Phone (312) 726-3917

Other practice location 1

40 Skokie Blvd Ste 300
Northbrook, IL 60062-1601
Phone (847) 498-0690

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
I20240925002210 IL Practitioner - Nurse Practitioner 9032650494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women's Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 300
Chicago, IL 60602-4495
Phone (312) 726-3917

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.028901ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women's Health Care, LTD. CurrentSince Jul 15, 2024 Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

30 N Michigan Ave
Ste 300
Chicago, IL 60602
Phone (312) 558-6481

21660 W Field Pkwy
Deer Park, IL 60010
Phone (312) 620-1803

40 Skokie Blvd
Ste 300
Northbrook, IL 60062
Phone (847) 498-0690

2604 Dempster St
Park Ridge, IL 60068
Phone (847) 219-9600

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

18931 W Washington St
Ste 100
Third Lake, IL 60030
Phone (847) 548-2200

Interoperability endpoints

  • Direct secure messaging: emme.deamont.2@21117.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1902667132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024495",
            "telephone_number": "312-726-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024495",
            "telephone_number": "312-726-3917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Skokie Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621601",
            "country_code": "US",
            "telephone_number": "847-498-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAMONT",
        "first_name": "EMME",
        "middle_name": "ELEYNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.028901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.