Olga Brezden

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021535 Issued in IL

Practice address

2868 N Broadway St
Chicago, IL 60657-6017

Phone

(773) 569-3525

Fax

(872) 206-8120

NPI assigned

Jun 12, 2020

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians

Midwest Express Care, IncGroup PAC ID 5193957595, 31 clinicians

Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Nwi Urgent Care, LLCGroup PAC ID 7618142977, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1548692890
  Medicare reassignment Care Compare group NPD
• Nwi Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Munster, IN
  • NPI 1043596703
  Medicare reassignment Care Compare group NPD
• Midwest Express Care 4 LLC

  dba Midwest Express Clinics

  • Urgent Care Clinic/Center
  • Hammond, IN
  • NPI 1629502810
  Medicare reassignment Care Compare group
• Midwest Express Care, Inc

  • Urgent Care Clinic/Center
  • Schererville, IN
  • NPI 1942642848
  Medicare reassignment Care Compare group
• Midwest Express Care 2, Inc

  dba Midwest Express Clinic

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1659952554
  NPD

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1114542347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576017",
            "telephone_number": "773-569-3525",
            "fax_number": "872-206-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576017",
            "telephone_number": "773-569-3525",
            "fax_number": "872-206-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Estate Cir",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605656705",
            "country_code": "US",
            "telephone_number": "773-704-7519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREZDEN",
        "first_name": "OLGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "209021535",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Banfield Brewster Perry, DNP, RN
• Hannah Brewster
• Emily Brey
• Robert H Breyer, MD
• Dmitriy Breytman, M.D.
• Lisa Brezinski, RN
• Bri Beck Counseling & Consulting, LLC
• Brian Chiaramonte Foot and Ankle Center of Bridgeport
• Brian M Caraba DDS PC (We Smile Dental)
• Brian McGinnis Massage Therapy

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.

Verify at the official NPI Registry.