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ILHIE Direct Pre-Registration 

To Sign Up for an ILHIE Direct Secure Messaging account, please complete the webform below and click 'Submit.' You will receive an email, usually within one business day, with information needed to complete your registration and identity authentication. If you are registering as:

  • An Individual Provider - Use your individual NPI number.
  • An Authorized Representative from an Organization - Identify the authorized representative in the name fields; Use the organization's NPI number.
  • An Organization Without An NPI Number (e.g. Government Agency) - Fill in 10 zeros in the NPI field; ILHIE will contact you if further information is required to verify your eligibility.

Do you need to look up your NPI number? Visit the NPI Registry. 

If you receive an error message when submitting this webform, please click here to email us the required information.

*Indicates a required field

Practice Setting (Choose the Setting That Best Applies) required
Practice Setting (Choose the Setting That Best Applies)
Are There Specific Providers/Organizations With Which You Plan To Exchange ILHIE Direct Messages? required
Are There Specific Providers/Organizations With Which You Plan To Exchange ILHIE Direct Messages?
If So, Are Those Providers/Organizations Already on the ILHIE Direct Network
If So, Are Those Providers/Organizations Already on the ILHIE Direct Network
Is Your Organization The Recipient (or a partner organization) of a Medicaid Care Coordination Innovations Project Grant? required
Is Your Organization The Recipient (or a partner organization) of a Medicaid Care Coordination Innovations Project Grant?
If Your Organization is Affiliated With an HIE White Space Grantee, Please Indicate Which of the Three:
If Your Organization is Affiliated With an HIE White Space Grantee, Please Indicate Which of the Three:
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