MEDICARE: SHYBI LUKE CHIRAYIL APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	209028457	IL
2	363LG0600X	Gerontology Nurse Practitioner	209028457	IL

General Provider Information

NPI Number	:	1568314789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHYBI LUKE CHIRAYIL APRN

Provider Business Mailing Address
First Line	:	6300 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1204
Country	:	US
Telephone Number	:	773-681-0260
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1204
Country	:	US
Telephone Number	:	773-681-0260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ SHYBI LUKE CHIRAYIL APRN” Practice Location

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