Active NPI
Rachel Chessare, PA-C
- Physician Assistant
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.005510
- Practice address
- 800 N Larkin Ave
Joliet, IL 60435-3429 - Phone
- (815) 741-4300
- Fax
- (815) 725-0600
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.005510 | IL | Primary |
Addresses
Primary practice location
800 N Larkin Ave
Joliet, IL 60435-3429
Mailing address
2100 Pfingsten Rd
Room 4049
Glenview, IL 60026-1301
Phone (847) 657-5815
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150925001442 | IL | Practitioner - Physician Assistant | 1153639059 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Northwestern University Feinberg Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Immediate Care North Chicago LLC
Practice addresses (Care Compare)
13448 Cicero Ave
Crestwood, IL 60418-1430
Phone (708) 682-3384
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
9501 S Western Ave
Chicago, IL 60643-1013
Phone (773) 344-9465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.005510 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Fastrac Medical, P.C. | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2100 Pfingsten Rd
Rm 4049
Glenview, IL 60026
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.
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1659517597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1164898524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 PFINGSTEN RD",
"address_2": "ROOM 4049",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261301",
"telephone_number": "847-657-5815",
"fax_number": "847-657-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N LARKIN AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353429",
"telephone_number": "815-741-4300",
"fax_number": "815-725-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESSARE",
"first_name": "RACHEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.005510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.