Registered Nurse Cheat Sheet for Illinois

Requirements for Supervising Physician agreements in Illinois, plus a free agreement builder tailored to Illinois law.

Provider supervision requirements in Illinois

Updated 2026-09-03

Provided for educational and research purposes only — this is not legal advice. Laws and regulations change frequently, and this content may contain errors or omissions. Always confirm current requirements with a licensed attorney before relying on this for compliance decisions.

The 2017 Nurse Practice Act reform (P.A. 100-0513) lets NP/CNM/CNS attest to full practice authority after 4,000 hours under a written collaborative agreement plus 250 hours of CE — CRNAs are not included in that attestation pathway. The Medical Corporation Act (805 ILCS 15) restricts clinical-entity ownership to physicians; APRNs/PAs may still use a professional service corporation or PLLC of their own licensees.

Registered Nurse

Independent practice

RNs (general licensure, not an APRN) are not subject to physician-supervision or collaborative-agreement requirements in Illinois (225 ILCS 65).


Proximity

Not codified — left to the practice agreement

Chart review

Not codified — left to the practice agreement

Prescriptive authority

Covered by practice agreement · no controlled-substance authority

RNs do not have independent prescriptive authority in Illinois.

Practice ownership (CPOM)

Licensee-only ownership required — Professional service corporation (805 ILCS 10) or PLLC (805 ILCS 185) for nursing services; non-clinical businesses an RN might own fall outside that regime and carry no ownership restriction.

For medical-aesthetics (med-spa) businesses performing delegated medical procedures, Illinois delegation rules (Medical Practice Act, Ill. Admin. Code tit. 68, § 1285.336) allow delegation to LPNs/RNs/APRNs, but ownership of the clinical entity itself remains a Medical Corporation Act question, not this general nursing-corporation rule.

Supervision ratio

Not codified — left to the practice agreement

Meeting cadence

Not codified — left to the practice agreement

Written agreement

Not required

Unconditional — general RN licensure is never subject to physician supervision or a collaborative agreement in Illinois.

Legal sources

225 ILCS 65 — Nurse Practice Act

805 ILCS 15 — Medical Corporation Act

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