Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114390788 Individual Practitioner Female Practitioner

Katherine Eydelman , NP

Nurse Practitioner • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Katherine Eydelman, NP is a registered healthcare professional specializing in Nurse Practitioner in Chicago, IL. Practice services are available at 4318 S STATE ST under active NPI credentials.

Frequently performed procedures and clinical services include telephone medical discussion with physician, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4318 S State St

Chicago, IL 606093701

Telephone 7732859304
Fax 7735643501
Associated Practice Facility / Clinic
🏢 D2 Dental At Oak Street, P.c. Facility NPI 1013329127

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
961 Specialists

Practicing in Chicago, IL (4929 Statewide)

Telehealth Adoption Rate
19.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes
59 27 $83.72 $59.87
99213 Established patient office or other outpatient visit, typically 15 minutes
53 35 $140.82 $68.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
13 13 $218.10 $104.63
36415 Insertion of needle into vein for collection of blood sample
12 11 $6.00 $2.98

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209018063

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License NV APRN002070

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1114390788 (NV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Margaret Clemons-Adams , APRN

Nurse Practitioner - Adult Health

NPI 1023661980

Advanced Practice Registered Nurse

Maggie Earanky , LCSW

Social Worker - Clinical

NPI 1093064701

Licensed Clinical Social Worker

Doris Ihejieto

Nurse Practitioner - Family

NPI 1144984915
Dr. Paige Scholer , MD

Internal Medicine

NPI 1154827806

Doctor of Medicine (M.D.)

Dr. Anwar Jebran , MD

Internal Medicine

NPI 1205356821

Doctor of Medicine (M.D.)

Dr. Leena Malik , MD

Internal Medicine

NPI 1285263814

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 17, 2018

Registered at 4318 S STATE ST, CHICAGO, IL 606093701 (Tel: 7732859304)

📍
Updated Business Mailing Address October 17, 2018

Registered at 4318 S STATE ST, CHICAGO, IL 606093701 (Tel: 7732859304)

👤
Provider Name / Credentials Updated October 17, 2018

Recorded as KATHERINE EYDELMAN, NP

NPI Profile Active November 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2015

Registered at 1501 E CALVADA BLVD, PAHRUMP, NV 890485807 (Tel: 7757275500)

📍
Updated Business Mailing Address November 05, 2015

Registered at PO BOX 98978, LAS VEGAS, NV 891938978 (Tel: 7022163346)

👤
Provider Name / Credentials Updated November 05, 2015

Recorded as KATHERINE TONNIES, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2015

Nurse Practitioner (License #APRN002070 in NV)

🟢
Initial NPI Registration & Enumeration November 04, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114390788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2015
Last Update: October 17, 2018
Sole Proprietor: No

Mailing Address

4318 S State St

Chicago, IL 606093701

Phone: 7732859304

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.