Active NPI
Quintella Clarice Dennis, NURSE PRACTITIONER
- Primary Care Nurse Practitioner
- Chicago, IL
National Provider Identifier
1972414944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209.033022
- 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
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 |
|---|---|---|---|---|
| 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.