IndividualActive
Kerry Lazewski, NP
NPI 1760413637 · Pediatric Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1760413637
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209005522 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2515 N Clark St
Chicago, IL 60614-2730
Phone: (800) 543-7365
Street-level locationGet directions
Mailing address
220 Des Plaines Ave
Forest Park, IL 60130-1227
Additional practice locations (1)
- 225 E Chicago AveChicago, IL 60611-2991Phone: (312) 543-7365
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2022-04-25
- Certified
- 2022-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.