Individual provider Active NPI

Sydney Nordstrom, PA-C

  • Physician Assistant
  • Des Plaines, IL
National Provider Identifier
1124648811
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-008257 Issued in IL
Practice address
900 Rand Rd Ste 200
Des Plaines, IL 60016-2359
Phone
(847) 375-3000
NPI assigned
Apr 22, 2020
Reactivated
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-008257 IL Primary

Addresses

Primary practice location

900 Rand Rd Ste 200
Des Plaines, IL 60016-2359

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976

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
I20210729000245 IL Practitioner - Physician Assistant 5193128007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2101 Waukegan Rd
Bannockburn, IL 60015-1836

9000 Waukegan Rd
Morton Grove, IL 60053-2127
Phone (847) 213-5444

Merit-based Incentive Payment System (MIPS)

Final score
84.02 of 100Reported as group
Quality
68.63
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-008257ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Jan 15, 2024 Accepting new patients
Orthomidwest, PLLC CurrentSince Aug 2, 2021 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Jan 15, 2024 Accepting new patients
Orthomidwest, PLLC CurrentSince Aug 2, 2021 Accepting new patients

Locations

650 S Randall Rd
Algonquin, IL 60102
Phone (779) 771-7000

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 200
Des Plaines, IL 60016
Phone (847) 324-3978

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

1550 N Randall Rd
Elgin, IL 60123
Phone (815) 569-6355

9000 Waukegan Rd
Ste 200
Morton Grove, IL 60053

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1124648811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-375-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "SYDNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "deactivation_date": "2021-03-18",
        "reactivation_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-008257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.