Individual provider Active NPI

Danielle Taylor, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1962879403
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013256 Issued in IL
Practice address
2656 N Elston Ave
Chicago, IL 60647-2019
Phone
(773) 252-2210
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013256 IL Primary

Addresses

Primary practice location

2656 N Elston Ave
Chicago, IL 60647-2019

Mailing address

2656 N Elston Ave
Chicago, IL 60647-2019
Phone (773) 252-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916000467 IL Practitioner - Nurse Practitioner 9234446717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians

Practice addresses (Care Compare)

1200 N Larrabee St
Chicago, IL 60610-1746
Phone (866) 389-2727

2656 N Elston Ave
Chicago, IL 60647-2019
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209013256ILMDFamily Nurse Practitioner

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Jan 31, 2023 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Apr 23, 2016 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

800 Broadview Village Sq
Broadview, IL 60155
Phone (708) 681-2453

1101 W Jackson Blvd
Chicago, IL 60607
Phone (302) 279-3340

1200 N Larrabee St
Chicago, IL 60610
Phone (312) 470-8945

2656 N Elston Ave
Chicago, IL 60647
Phone (773) 252-1994

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

7300 191st St
Tinley Park, IL 60487
Phone (815) 464-0023

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1962879403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472019",
            "telephone_number": "773-252-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472019",
            "telephone_number": "773-252-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.