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

Mrs. Katlyn Poupore, RN

Individual provider Registered Nurse · NPI 1154676625

Mrs. Katlyn Poupore, RN is a Nurse Practitioner in Oak Park, Illinois. Qualified in 2015, 11 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2012
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3 Erie Ct
Oak Park, IL 60302-2519
Phone: (708) 763-6747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209013226 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 04138163 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209013226 (IL)

Record details

NPI number1154676625
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 19, 2012
Last updated in NPPESDecember 8, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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