Individual provider Active NPI

Michelle L Varvaris-Becker

  • Registered Nurse
  • Joliet, IL
National Provider Identifier
1023913522
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041425081 Issued in IL
Practice address
1201 Eagle St
Joliet, IL 60432-2031
Phone
(815) 740-8100
Fax
(708) 202-5444
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041425081 IL Primary

Addresses

Primary practice location

1201 Eagle St
Joliet, IL 60432-2031

Mailing address

17807 Elmwood Dr
Tinley Park, IL 60487-6192
Phone (773) 744-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1023913522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17807 ELMWOOD DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876192",
            "telephone_number": "773-744-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 EAGLE ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322031",
            "telephone_number": "815-740-8100",
            "fax_number": "708-202-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARVARIS-BECKER",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041425081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.