Individual provider Active NPI

Hanna Vintonyak, NP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1043886062
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.023318 Issued in IL
Practice address
2003 W Fulton St # 303
Chicago, IL 60612-2345
Phone
(312) 243-2223
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.023318 IL Primary

Addresses

Primary practice location

2003 W Fulton St # 303
Chicago, IL 60612-2345

Mailing address

9020 Meadowview Dr
Hickory Hills, IL 60457-1032
Phone (773) 574-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621002523 IL Practitioner - Nurse Practitioner 6709286263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Urgiclinic Urgent Care PLLCGroup PAC ID 0143688069, 3 clinicians

Practice addresses (Care Compare)

7124 W 83Rd St
Unit 3
Bridgeview, IL 60455-4034
Phone (708) 788-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.023318ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Chicago Urgent Care SC CurrentSince May 11, 2022 Accepting new patients
Urgiclinic Urgent Care PLLC CurrentSince Feb 22, 2024 Accepting new patients
Northwest Morton Grove SC CurrentSince Jan 15, 2023 Accepting new patients
MD @ Home Illinois, SC CurrentSince Jun 21, 2021 Accepting new patients

Locations

7124 W 83rd St
Unit 3
Bridgeview, IL 60455
Phone (708) 314-0307

7124 W 83rd St
Unit C
Bridgeview, IL 60455
Phone (708) 788-5088

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

2003 W Fulton St
#303
Chicago, IL 60612
Phone (312) 243-2223

6841 Dempster St
Morton Grove, IL 60053
Phone (224) 200-9000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1043886062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 MEADOWVIEW DR",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571032",
            "telephone_number": "773-574-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST # 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "312-243-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINTONYAK",
        "first_name": "HANNA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.023318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.