Active NPI
Leslie McIlvried Aprn BC LLC
- Psychiatric/Mental Health Nurse Practitioner
- Naperville, IL
National Provider Identifier
1932636339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 041410686
- Legal business name
- LESLIE MCILVRIED APRN BC LLC
- Doing business as
- Leslie McIlvried APRN BC LLC
- Practice address
- 1755 Park St
Naperville, IL 60563-4861 - Phone
- (630) 983-8920
- Fax
- (630) 983-4839
- NPI assigned
- May 16, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie McIlvried, APRN BC
- Title
- Nurse Practitioner
- Phone
- (630) 983-8920
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 041410686 | IL | Primary |
Addresses
Primary practice location
1755 Park St
Naperville, IL 60563-4861
Mailing address
1755 Park St
Naperville, IL 60563-4861
Phone (630) 983-8920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225098445 | Other | NPI TYPE 1 |
Other names 1
- Leslie McIlvried APRN BC LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Naperville, IL
- NPI 1225098445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1932636339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 PARK ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634861",
"telephone_number": "630-983-8920",
"fax_number": "630-983-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 PARK ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634861",
"telephone_number": "630-983-8920",
"fax_number": "630-983-4839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE MCILVRIED APRN BC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-16",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MCILVRIED",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "630-983-8920",
"authorized_official_credential": "APRN BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "041410686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1225098445",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Leslie McIlvried APRN BC LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.