Individual provider Active NPI

Brittany Stiles

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1114609195
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026836 Issued in IL
Practice address
3909 N Western Ave
Chicago, IL 60618-3741
Phone
(773) 739-9200
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.026836 IL Primary

Addresses

Primary practice location

3909 N Western Ave
Chicago, IL 60618-3741

Mailing address

3909 N Western Ave
Chicago, IL 60618-3741

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
I20230919001696 IL Practitioner - Nurse Practitioner 6103280599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services RicGroup PAC ID 4880598978, 92 clinicians

Practice addresses (Care Compare)

7600 S County Line Rd
Burr Ridge, IL 60527-6962
Phone (630) 388-6700

Hospital & facility affiliations

  • Shirley Ryan Abilitylab Inpatient rehabilitation facility, Chicago, IL, CCN 143026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.026836ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Aug 28, 2023 Accepting new patients

Locations

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

3909 N Western Ave
Chicago, IL 60618
Phone (773) 739-9200

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1711 W Highway 50
O Fallon, IL 62269
Phone (618) 206-5076

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1114609195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183741",
            "telephone_number": "773-739-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.