Individual provider Active NPI

Natalie Sulo-Gartz, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1184376766
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209.024725 Issued in IL
Practice address
6250 S Cottage Grove Ave
Chicago, IL 60637-2530
Phone
(312) 682-6110
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209.024725 IL Primary

Addresses

Primary practice location

6250 S Cottage Grove Ave
Chicago, IL 60637-2530

Mailing address

1224 W Van Buren St Apt 501
Chicago, IL 60607-3363

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Chicago
CONNECT URL Chicago

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
I20231013001250 IL Practitioner - Nurse Practitioner 7214382068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024725ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Friend Family Health Center Inc Current Accepting new patients
Friend Family Health Center Inc CurrentSince Sep 2, 2023 Accepting new patients
Friend Family Health Center, Inc CurrentSince Sep 2, 2023 Accepting new patients
Friend Family Health Center, Inc Past Accepting new patients

Locations

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

5635 S Pulaski Rd
Chicago, IL 60629
Phone (773) 767-4359

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

6250 S Cottage Grove Ave
Chicago, IL 60637
Phone (312) 682-6110

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1184376766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W VAN BUREN ST APT 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372530",
            "telephone_number": "312-682-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULO-GARTZ",
        "first_name": "NATALIE",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.024725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "address_1": "1224 W. Van Buren Street",
            "address_2": "Unit 501",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "address_1": "1224 W. Van Buren Street",
            "address_2": "Unit 501",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.