Individual provider Active NPI

Faith Robertha Thornton-Chatman, DO

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1104445857
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036163716 Issued in IL
Practice address
10536 S Ewing Ave
Chicago, IL 60617-6219
Phone
(708) 768-5000
Fax
(773) 978-5329
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036163716 IL Primary

Addresses

Primary practice location

10536 S Ewing Ave
Chicago, IL 60617-6219

Mailing address

10536 S Ewing Ave
Chicago, IL 60617-6219
Phone (708) 768-5000

Other identifiers 1

IdentifierTypeStateIssuer
036163716MedicaidIL

Other names 1

  • Dr. Faith Robertha Thornton Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000957 IL Practitioner - Family Practice 5193147890 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Illinois Holding, LLC CurrentSince Aug 1, 2023 Accepting new patients
Family Christian Health Center CurrentSince Sep 1, 2023 Accepting new patients
Family Christian Health Center CurrentSince Sep 1, 2023 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

600 E Sibley Blvd
Dolton, IL 60419
Phone (708) 340-7400

31 W 155th St
Harvey, IL 60426
Phone (708) 596-5177

19767 Torrence Ave
Lynwood, IL 60411
Phone 7085965177 ext. 8793

Interoperability endpoints

  • Direct secure messaging: faith.thornton.1@18277.direct.athenahealth.com

Organizations & group practices 3

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1104445857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10536 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176219",
            "telephone_number": "708-768-5000",
            "fax_number": "773-978-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10536 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176219",
            "telephone_number": "708-768-5000",
            "fax_number": "773-978-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON-CHATMAN",
        "first_name": "FAITH",
        "middle_name": "ROBERTHA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036163716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036163716",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "THORNTON",
            "middle_name": "ROBERTHA",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.