Individual provider Active NPI

Patricia Ann Vowal

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1063832541
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.000608 Issued in IL
Practice address
1340 South Damen
Alegis Care
Chicago, IL 60608
Phone
(773) 292-4800
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011275 IL
Adult Health Clinical Nurse Specialist 364SA2200X 209011276 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.000608 IL Primary

Addresses

Primary practice location

1340 South Damen
Alegis Care
Chicago, IL 60608

Mailing address

10611 S Lowe Ave
Chicago, IL 60628-2311
Phone (773) 405-8073

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
I20140716000972 IL Practitioner - Nurse Practitioner 1850516444 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10336 S Western Ave
Chicago, IL 60643-2407
Phone (708) 581-8031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.000608ILMDPsychiatric/Mental Health Nurse Practitioner
209011276ILMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
J C Medical Group LTD CurrentSince Oct 1, 2014 Accepting new patients
Paragon Clinical LLC Family CurrentSince May 1, 2015 Accepting new patients
Endeavor DLW Foundation Psychiatric/Mental Health Current Accepting new patients
Access Community Health Network CurrentSince Aug 12, 2024 Accepting new patients
Endeavor Mental Healthcare and Medical Services LTD Family CurrentSince Oct 30, 2024 Accepting new patients
Access Community Health Network CurrentSince Aug 12, 2024 Accepting new patients
Access Community Health Network Current Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

6033 N Sheridan Rd
Ste N6
Chicago, IL 60660
Phone (773) 275-4800

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

3800 W Madison St
Chicago, IL 60624
Phone (773) 826-6600

10336 S Western Ave
Chicago, IL 60643
Phone (708) 317-8698

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

1635 E 154th St
Dolton, IL 60419
Phone (708) 841-9550

Interoperability endpoints

  • Direct secure messaging: pvowal26424@direct.achn.net

Organizations & group practices 8

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1063832541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 S LOWE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282311",
            "telephone_number": "773-405-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SOUTH DAMEN",
            "address_2": "ALEGIS CARE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-292-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOWAL",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011275",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209011276",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.000608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.