Active NPI
Judith Miriam Goykhman, APN
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.024812
- Practice address
- 1509 N Western Ave Unit a
Chicago, IL 60622-2416 - Phone
- (773) 227-3303
- NPI assigned
- Feb 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.024812 | IL | Primary |
Addresses
Primary practice location
1509 N Western Ave Unit a
Chicago, IL 60622-2416
Mailing address
1509 N Western Ave Unit a
Chicago, IL 60622-2416
Phone (773) 227-3303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | DHS | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1900 Hollister Dr
Suite 250
Libertyville, IL 60048-5249
Phone (847) 573-9663
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024812 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Primary Care S.C. | Current | Accepting new patients | |
| M Chavez MD SC | Current | Accepting new patients |
Locations
1900 Hollister Dr
Ste 250
Libertyville, IL 60048
Phone (847) 549-0055
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFFGBA/Endpoint/CFFGBA
- https://api.platform.athenahealth.com/21778/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Libertyville, IL
- NPI 1659563831
-
- Family Medicine Physician
- Chicago, IL
- NPI 1134446065
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Lake Forest Hospital
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1063167849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 N WESTERN AVE UNIT A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222416",
"telephone_number": "773-227-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 N WESTERN AVE UNIT A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222416",
"telephone_number": "773-227-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYKHMAN",
"first_name": "JUDITH",
"middle_name": "MIRIAM",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-19",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.024812",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "DHS",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2409 N Clybourn Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606146185",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.