EILEEN VERA
NPI 1003619206
Student in an Organized Health Care Education/Training Program in Evanston, IL

Active since March 31, 2025PECOS Enrolled
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201(847) 666-3494(224) 999-7046 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eileen Vera NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EILEEN VERA (NPI 1003619206) is an individual student in an organized health care education/training program in Evanston, Illinois and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003619206
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEILEEN VERA
Location Address2650 RIDGE AVE STE 1304Evanston, IL 60201-1700
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Fax(224) 999-7046
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1003619206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2650 RIDGE AVE STE 1304, Evanston, IL 60201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eileen Vera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Dentist (General Practice)
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Internal Medicine (Cardiovascular Disease)
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003619206, enumerated as an "individual" on March 31, 2025.

The provider is located at 2650 RIDGE AVE STE 1304 EVANSTON, IL 60201 and the phone number is (847) 666-3494.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.