Individual provider Active NPI

Jennifer L. Dunlop, APN-CNP

  • Nurse Practitioner
  • Lombard, IL
National Provider Identifier
1912352089
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277002559 Issued in IL
Practice address
130 S Main St
Lombard, IL 60148-2670
Phone
(708) 369-8053
NPI assigned
Apr 26, 2016
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041-339902 IL
Nurse Practitioner 363L00000X 277002559 IL Primary
Family Nurse Practitioner 363LF0000X 209.014672 IL
Emergency Registered Nurse 163WE0003X 041.339902 IL

Addresses

Primary practice location

130 S Main St
Lombard, IL 60148-2670

Mailing address

130 S Main St
Lombard, IL 60148-2670

Other practice location 1

3635 S Harlem Ave
Berwyn, IL 60402-3212
Phone (708) 447-9402

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
I20160909001587 IL Practitioner - Nurse Practitioner 3274829791 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstop SCGroup PAC ID 6305176884, 2 clinicians

Practice addresses (Care Compare)

3635 S Harlem Ave
Berwyn, IL 60402-3212
Phone (708) 447-9402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.339902ILMDEmergency Registered Nurse
041-339902ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gottlieb Community Health Services Corporation CurrentSince Jul 1, 2019 Accepting new patients
Edward Hospital CurrentSince Apr 1, 2024 Accepting new patients
Healthstop SC CurrentSince Sep 1, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 7, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 7, 2024 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Jul 1, 2019 Accepting new patients
Edward Hospital CurrentSince Apr 1, 2024 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

3635 S Harlem Ave
Berwyn, IL 60402
Phone (708) 245-9000

9532 Eagle Way
Chicago, IL 60678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900

130 S Main St
Lombard, IL 60148
Phone (331) 221-5800

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

3722 Harlem Ave
Ste 101
Riverside, IL 60546
Phone (708) 783-6500

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: jennifer.dunlop.1@20505.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1912352089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "708-369-8053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 S Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023212",
            "country_code": "US",
            "telephone_number": "708-447-9402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLOP",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041-339902",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277002559",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014672",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IL",
            "license": "041.339902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.