Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KLINIVITY HEALTHCARE LLC
NPI 1508782509
Nurse Practitioner - Family in Chicago, IL

Active since June 25, 2026
11836 S HALE AVE, CHICAGO, IL 60643(630) 247-1948 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Klinivity Healthcare Llc NPPES

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

KLINIVITY HEALTHCARE LLC (NPI 1508782509) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since June 2026. The organization lists Kayla Shillcutt, Owner, as its authorized official.

NPPES Registry Identity

NPI1508782509
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKLINIVITY HEALTHCARE LLC
Location Address11836 S HALE AVEChicago, IL 60643-4826
Mailing Address11836 S Hale AveChicago, IL 60643-4826 · (630) 247-1948
Organization SubpartNo
Authorized OfficialKayla ShillcuttOwner · (630) 247-1948
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1508782509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
11836 S HALE AVE, Chicago, IL 60643

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Klinivity Healthcare LLC's NPI number?

The NPI number for Klinivity Healthcare LLC is 1508782509. It was assigned to this organization in the NPPES registry on June 25, 2026.

Where is Klinivity Healthcare LLC located?

Klinivity Healthcare LLC is located at 11836 S Hale Ave, Chicago, IL 60643. The listed phone number is (630) 247-1948.

What is Klinivity Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Klinivity Healthcare LLC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.