PARAGON CLINICAL LLC – Nurse Practitioner, NPI 1114139946
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PARAGON CLINICAL LLC
200, Burr Ridge Parkway, Burr Ridge, Lyons Township, Cook County, Illinois, 60527, United States
BURR RIDGE, IL 605270833
Phone: (630) 832-1775
Fax: (630) 832-3078
Type: Mailing
977 N Oaklawn Ave Ste 104
Elmhurst, IL 601261045
Phone: (630) 832-1775
Fax: (630) 832-3078
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (859 days ago).
Enrollment records
3
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070515000051 | O | Clinic/Group Practice | IL | TBD |
| O20150506001725 | O | Clinic/Group Practice | IN | 2024-01-31 |
| O20170329002290 | O | Clinic/Group Practice | MI | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60527)
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