Alicia Bobak, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.018132041.417990 Issued in IL

Practice address

1355 Remington Rd Ste H
Schaumburg, IL 60173-4818

Phone

(630) 701-9009

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By 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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians

Personic Wound Care Illinois PLLCGroup PAC ID 6901278514, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chestnut Health of Illinois LLC

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1588043939
  Medicare reassignment Care Compare group NPD
• Personic Wound Care Illinois PLLC

  • Surgery Physician
  • Chicago, IL
  • NPI 1093425399
  Medicare reassignment Care Compare group NPD
• New Day Wound Care LLC

  • Foot & Ankle Surgery Podiatrist
  • Oak Brook, IL
  • NPI 1285322735
  Medicare reassignment NPD
• Transitions Home Medical Group PLLC

  • Nurse Practitioner
  • Elk Grove Village, IL
  • NPI 1871890657
  Medicare reassignment NPD

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1144797887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD STE H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD STE H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734818",
            "telephone_number": "630-701-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBAK",
        "first_name": "ALICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018132041.417990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BLS Nutrition Consulting LLC
• Blue Anchor Wellness, LLC
• Blue Chip Chiropractic, LLC
• Blue Leaf Dental Associates LLC (Dental Salon Schaumburg)
• Blue Light ABA Consultants
• Kailyn Bobb
• Ronald Joseph Boduch, MD
• Brenda Ann Bogue
• Amy R. Bohland, FNP-BC
• Kelly Bohn

• Family Nurse Practitioner in Schaumburg, IL
• Providers in Schaumburg, 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 Oct 31, 2018; 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.