Rockie Vanga, APN
Individual provider Active NPI Family Nurse Practitioner · Mount Prospect, IL
NPI 1104473784 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1104473784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209019481 (IL)
- Practice address
- 500 W Central Rd Ste 204
Mount Prospect, IL 60056-2381 - Phone
- (847) 376-8144
- NPI assigned
- Aug 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CMC Healthcare LLC
Practice addresses (Care Compare)
6300 W 95TH St
Oak Lawn, IL 60453-2256
Phone (708) 599-8800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210206000033 | IL | Practitioner - Nurse Practitioner | 9436563285 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicals Plus, Inc | Current |
Accepting new patients | |
| Midwest Post Acute Care Aco PLLC | Current |
Accepting new patients | |
| Midwest Post Acute Care PLLC | Current |
Accepting new patients | |
| Reliable Visiting Physicians Inc | Current |
Accepting new patients | |
| Bridgecare, Inc. | Current |
Accepting new patients | |
| CMC Healthcare LLC | Current |
Accepting new patients | |
| Infinite Medical PC | Current |
Accepting new patients | |
| Cimpar, S.C. | Current |
Accepting new patients |
Locations
716 18th St
Charleston, IL 61920
Phone (217) 345-7054
11401 S Oakley Ave
Chicago, IL 60643
Phone (733) 233-6311
2940 W 87th St
Chicago, IL 60652
Phone (773) 265-3403
2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437
1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500
1645 S River Rd
Ste 2
Des Plaines, IL 60018
Phone (224) 803-2273
2201 Main St
Evanston, IL 60202
Phone (847) 905-3000
19740 Governors Hwy
Ste 116
Flossmoor, IL 60422
Phone (708) 607-2503
3300 175th St
Hazel Crest, IL 60429
Phone (708) 335-2400
500 W Central Rd
Ste 204
Mt Prospect, IL 60056
Phone (224) 723-3527
6840 W Touhy Ave
Niles, IL 60714
Phone (317) 873-7450
6300 W 95th St
Oak Lawn, IL 60453
Phone (708) 599-4981
101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406
250 Skillman St
Ste 202
Brooklyn, NY 11205
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209019481 | IL | Yes |
Addresses
Primary practice location
500 W Central Rd Ste 204
Mount Prospect, IL 60056-2381
Mailing address
1820 N 39TH Ave
Stone Park, IL 60165-1016
Phone (773) 306-5099
Other providers in Mount Prospect, IL
- Jennifer Marie Van Blake
- Van Driel'S Drug Store
- Van Driels Medical Support Wear Co
- James Edward Vanderbosch Jr.
- Lindy Vandersteeg
- Jaison Varghese
- Sara Vasilev
- Vel Dental PC
- Lois P. Veneskey
- Frances Ompico Verzosa
All providers in Mount Prospect, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.