Active NPI
Jennifer Sostak, AGACNP
- Acute Care Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209011729
- Practice address
- 1611 W Harrison St
Chicago, IL 60612-4861 - Phone
- (312) 942-5000
- NPI assigned
- Jan 22, 2015
- Last updated
- Jan 22, 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209011729 | IL | Primary |
Addresses
Primary practice location
1611 W Harrison St
Chicago, IL 60612-4861
Mailing address
266 Hawthorne Blvd
Glen Ellyn, IL 60137-4038
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 W Harrison St
Suite 400
Chicago, IL 60612-4861
Phone (877) 632-6637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush LLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush, LLC | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
25 E Washington St
Ste 300
Chicago, IL 60602
Phone (312) 640-5172
963 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 725-8425
963 N 129th Infantry Dr
Ste 130
Joliet, IL 60435
Phone (815) 744-1812
55 Shuman Blvd
Ste 700
Naperville, IL 60563
Phone (630) 339-2225
2011 York Rd
Ste 1500
Oak Brook, IL 60523
Phone (708) 492-5630
1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154
2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2733
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
25 N Winfield Rd
Ste 505
Winfield, IL 60190
Phone (630) 614-4255
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1730136474
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
-
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
- NPI 1134871908
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1174912505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 HAWTHORNE BLVD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "312-942-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSTAK",
"first_name": "JENNIFER",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209011729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.