KLINIVITY HEALTHCARE LLC NPI 1508782509

NPI Information

  • NPI: 1508782509
  • Provider Name: KLINIVITY HEALTHCARE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 11836 S HALE AVE
    CHICAGO, IL
    ZIP 60643
  • Phone: (630) 247-1948

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NPI Details

KLINIVITY HEALTHCARE LLC is a family nurse practitioner in Chicago, IL. KLINIVITY HEALTHCARE LLC NPI is 1508782509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11836 S HALE AVE
CHICAGO, IL
ZIP 60643-826
Phone: (630) 247-1948

The provider's authorized official is Kayla Shillcutt .
The authorized official title is Owner and has the following contact phone number (630) 247-1948.

The enumeration date for this NPI number is 6/25/2026 and was last updated on 6/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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