Laura E Hilb, ARNP

Individual provider Active NPI Family Nurse Practitioner · Evanston, IL

NPI 1962873075 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1962873075
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
209015002 (IL)
Practice address
2121 Dewey Ave
Evanston, IL 60201-3057
Phone
(224) 307-9994
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209015002ILMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9417731 FL
Family Nurse Practitioner 363LF0000X 209015002 IL Yes

Addresses

Primary practice location

2121 Dewey Ave
Evanston, IL 60201-3057

Mailing address

2121 Dewey Ave
Evanston, IL 60201-3057
Phone (813) 743-8471

Other practice location 1

6830 Gall Blvd
Zephyrhills, FL 33542-2503
Phone (813) 783-3118

Other practice location 2

6830 Gall Blvd
Zephyrhills, FL 33542-2503
Phone (813) 783-3118

Other identifiers

IdentifierTypeStateIssuer
P01596091OtherFLRR MCR
016225600MedicaidFL

Other providers in Evanston, IL

All providers in Evanston, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.