Organization Active NPI

Leslie McIlvried Aprn BC LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1932636339
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
041410686 Issued in IL
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Leslie McIlvried, APRN BCNPI 1225098445
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1225098445OtherNPI TYPE 1

Other names 1

  • Leslie McIlvried APRN BC LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.