Individual provider Active NPI

Joanna M Kane, NP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1992501837
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209031350 Issued in IL
Practice address
1625 N Harlem Ave
Chicago, IL 60707
Phone
(708) 660-3111
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 209031350 IL Primary

Addresses

Primary practice location

1625 N Harlem Ave
Chicago, IL 60707

Mailing address

617 S Harvey Ave
Oak Park, IL 60304-1516
Phone (773) 225-6216

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
I20250424001216 IL Practitioner - Nurse Practitioner 5294095162 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1625 N Harlem Ave
Chicago, IL 60707-4303

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

Hospital & facility affiliations

  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209031350ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Beamer Carlon Craigen SC Current Accepting new patients
Rush Oak Park Physicians Group Lake Street CurrentSince Apr 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Rush Oak Park Physicians Group Anchor CurrentSince Apr 1, 2025 Accepting new patients
Rush University Medical Group CurrentSince Apr 1, 2025 Accepting new patients

Locations

75 Remittance Dr
Dept 1620
Chicago, IL 60675

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1625 N Harlem Ave
Chicago, IL 60707
Phone (312) 256-8583

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1011 Lake St
Ste 300
Oak Park, IL 60301
Phone (708) 366-7896

610 S Maple Ave
Ste 3900
Oak Park, IL 60304
Phone (708) 524-1674

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1992501837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S HARVEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041516",
            "telephone_number": "773-225-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "708-660-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "JOANNA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209031350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.