Active NPI
Cicely Allen, REGISTERED NURSE
- Registered Nurse
- Chicago, IL
National Provider Identifier
1912707381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041573861
- Practice address
- 6548 S Drexel Ave
Chicago, IL 60637-4206 - Phone
- (708) 830-7354
- NPI assigned
- Mar 15, 2025
- Last updated
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041573861 | IL | Primary |
| Home Health Registered Nurse | 163WH0200X | 541674 | OH |
Addresses
Primary practice location
6548 S Drexel Ave
Chicago, IL 60637-4206
Mailing address
931 S la Grange Rd
La Grange, IL 60525-3076
Phone (708) 830-7354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041573861 | IL | MD | Registered Nurse |
| 541674 | OH | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1912707381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 S LA GRANGE RD",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605253076",
"telephone_number": "708-830-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6548 S DREXEL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374206",
"telephone_number": "708-830-7354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CICELY",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-15",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041573861",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "541674",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.