Active NPI
Virginia M Reilly, APN
- Adult Health Nurse Practitioner
- Elk Grove Village, IL
National Provider Identifier
1952563082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209006039
- Practice address
- 800 Biesterfield Rd
Alexian Brothers Medical Center - Eberle 610
Elk Grove Village, IL 60007-3362 - Phone
- (847) 981-3665
- NPI assigned
- Jun 30, 2008
- Last updated
- Jun 30, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209006039 | IL | Primary |
Addresses
Primary practice location
800 Biesterfield Rd
Alexian Brothers Medical Center - Eberle 610
Elk Grove Village, IL 60007-3362
Mailing address
800 Biesterfield Rd Suite 610
Alexian Brothers Medical Center
Elk Grove Village, IL 60007-3362
Phone (847) 981-3665
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1952563082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD SUITE 610",
"address_2": "ALEXIAN BROTHERS MEDICAL CENTER",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073362",
"telephone_number": "847-981-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "ALEXIAN BROTHERS MEDICAL CENTER - EBERLE 610",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073362",
"telephone_number": "847-981-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "VIRGINIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209006039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.