Individual provider Active NPI

Rosalind Seals, NP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1164880498
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000890 Issued in IL
Practice address
3857 W Washington Blvd
Chicago, IL 60624-2342
Phone
(773) 533-1417
Fax
(773) 533-7348
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 277000890 IL Primary

Addresses

Primary practice location

3857 W Washington Blvd
Chicago, IL 60624-2342

Mailing address

6222 S Pulaski Rd Ste 3
Chicago, IL 60629-4610
Phone (773) 581-8080

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
I20160324001010 IL Practitioner - Nurse Practitioner 5698072346 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277000890ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Partners Inc CurrentSince Feb 1, 2016 Accepting new patients
Presence Healthcare Services CurrentSince Feb 1, 2026 Accepting new patients
Presence Healthcare Services CurrentSince Feb 1, 2026 Accepting new patients
Presence Healthcare Services Family Past Accepting new patients

Locations

2123 E 71st St
Chicago, IL 60649
Phone (773) 493-7733

62311 Collection Ctr Dr
Chicago, IL 60693

9133 S Stony Island Ave
#1
Chicago, IL 60617
Phone (773) 375-3312

6222 S Pulaski Rd
#3
Chicago, IL 60629
Phone (773) 735-8100

Interoperability endpoints

  • Direct secure messaging: rosalind.seals.1@31131.direct.athenahealth.com

Organizations & group practices 4

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": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1164880498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 S PULASKI RD STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294610",
            "telephone_number": "773-581-8080",
            "fax_number": "773-581-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242342",
            "telephone_number": "773-533-1417",
            "fax_number": "773-533-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALS",
        "first_name": "ROSALIND",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.