Individual provider Active NPI

Jillian Youngquist, DNP, FNP-C

  • Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1972227882
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.025890 Issued in IL
Practice address
360 W Butterfield Rd Ste 100
Elmhurst, IL 60126-5025
Phone
(630) 501-1706
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.025890 IL Primary

Addresses

Primary practice location

360 W Butterfield Rd Ste 100
Elmhurst, IL 60126-5025

Mailing address

6201 Linden LN
La Grange Highlands, IL 60525-7310

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
I20230105003286 IL Practitioner - Nurse Practitioner 4284004367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Pain Center of Illinois Inc.Group PAC ID 7214096593, 5 clinicians

Practice addresses (Care Compare)

2041 W Division St
Chicago, IL 60622-8521
Phone (312) 624-8364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.025890ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Orthopaedic Group S C CurrentSince Nov 1, 2022 Accepting new patients
The Pain Center of Illinois Inc. CurrentSince Nov 1, 2022 Accepting new patients
Ashland Medical Specialist Inc CurrentSince Nov 1, 2022 Accepting new patients
Parkview Orthopaedic Group S C CurrentSince Nov 1, 2022 Accepting new patients
Illinois Bone & Spine Institute CurrentSince Nov 1, 2022 Accepting new patients

Locations

1925 E Rand Rd
Arlington Hts, IL 60004
Phone (224) 735-3522

5401 S Wentworth Ave
#22W
Chicago, IL 60609
Phone (312) 878-9172

300 W Butterfield Rd
Ste 105
Elmhurst, IL 60126
Phone (630) 474-3735

300 W Butterfield Rd
Ste 102
Elmhurst, IL 60126

360 W Butterfield Rd
Ste 100
Elmhurst, IL 60126
Phone (630) 501-1706

688 Cedar Crossings Dr
New Lenox, IL 60451
Phone (815) 727-3030

836 S Oak Park Ave
Oak Park, IL 60304
Phone (708) 613-5471

7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600

Interoperability endpoints

  • Direct secure messaging: jillian.youngquist.p1@direct.parkviewortho.nextgenshare.com

Organizations & group practices 5

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1972227882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 LINDEN LN",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605257310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 100",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265025",
            "telephone_number": "630-501-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGQUIST",
        "first_name": "JILLIAN",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.025890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.