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

Kelly Tais Azambuja Cachoeira, APRN

Individual provider Nurse Practitioner · NPI 1295599900

Kelly Tais Azambuja Cachoeira, APRN is a Nurse Practitioner in Bannockburn, Illinois. Qualified in 2023, 3 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

2151 Waukegan Rd Ste 100
Bannockburn, IL 60015-1885
Phone: (847) 444-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1103 S Hunt Club Dr Apt 319, Mount Prospect, IL 60056-4274 — (630) 605-7875

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209029354 (IL)

Record details

NPI number1295599900
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bannockburn