Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deidra Hall, NP

Individual provider Family Nurse Practitioner · NPI 1376369553

Deidra Hall, NP is a Nurse Practitioner in Waukegan, Illinois. Qualified in 2024, 2 years ago. Practices with Waukegan Clinic Corp, a 62-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1616 Grand Ave
Waukegan, IL 60085-3600
Phone: (847) 249-1733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.030954 (IL)

Record details

NPI number1376369553
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address8702 Sedge Meadow Dr, Wonder Lake, IL 60097-7604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Waukegan Clinic Corp — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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