Individual provider Active NPI

Quintella Clarice Dennis, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1972414944
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209.033022 Issued in IL
Practice address
701 S Pulaski Rd
Chicago, IL 60624-3653
Phone
(773) 565-4116
Fax
(773) 565-4117
NPI assigned
Sep 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209.033022 IL Primary

Addresses

Primary practice location

701 S Pulaski Rd
Chicago, IL 60624-3653

Mailing address

531 S Plymouth CT Ste 103
Chicago, IL 60605-1510
Phone (773) 565-4116

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1972414944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S PLYMOUTH CT STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051510",
            "telephone_number": "773-565-4116",
            "fax_number": "773-565-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606243653",
            "telephone_number": "773-565-4116",
            "fax_number": "773-565-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "QUINTELLA",
        "middle_name": "CLARICE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.033022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.