Individual provider Active NPI

Prachi Patel, FNP-C

  • Family Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1124607056
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.022883 Issued in IL
Practice address
11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone
(877) 993-4321
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.022883 IL
Family Nurse Practitioner 363LF0000X 209.022883 IL Primary

Addresses

Primary practice location

11200 Lincoln Hwy
Mokena, IL 60448-8208

Mailing address

110 W North Ave
Elmhurst, IL 60126-2736
Phone (186) 638-9272

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
I20210809001589 IL Practitioner - Nurse Practitioner 6406250760 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.022883ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Primary Care PC CurrentSince Jul 1, 2021 Accepting new patients
Khushi Jenna Partnership, LLC CurrentSince Jul 1, 2021 Accepting new patients
Suburban Medical & Wellness Center, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

2214 Huntington Dr N
Algonquin, IL 60102
Phone (224) 348-7981

1900 Army Trail Rd
Hanover Park, IL 60133
Phone (847) 955-9500

800 E Woodfield Rd
Ste 102
Schaumburg, IL 60173
Phone (312) 248-7695

Interoperability endpoints

  • Direct secure messaging: ppatel18446@direct-prd.molinahealthcare.com
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

Organizations & group practices 5

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1124607056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W NORTH AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262736",
            "telephone_number": "186-638-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LINCOLN HWY",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488208",
            "telephone_number": "877-993-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRACHI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.022883",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.022883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.