Active NPI
Christopher Diethert, FNP-C
- Family Nurse Practitioner
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209029691
- Practice address
- 9735 Skokie Blvd
Skokie, IL 60077-1383 - Phone
- (847) 380-8969
- NPI assigned
- Apr 9, 2011
- Last updated
- Jul 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227011698 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209029691 | IL | Primary |
Addresses
Primary practice location
9735 Skokie Blvd
Skokie, IL 60077-1383
Mailing address
403 Muriel CT
Wheeling, IL 60090-5918
Phone (847) 826-3590
Other practice location 1
2003 W Fulton St
Chicago, IL 60612-2345
Phone (773) 794-8305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, ME, FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1122 Willow Rd
Northbrook, IL 60062-6824
Phone (847) 714-1220
1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621
2003 W Fulton St
Suite 303
Chicago, IL 60612-2345
Phone (312) 243-2223
350 W Schaumburg Rd
Suite 2
Schaumburg, IL 60194-3400
Phone (212) 734-6621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227011698 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Rebman BH LLC | Current | Accepting new patients | |
| Daniel Funsch Jr, M.D., P.C. | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| MD @ Home Illinois, SC | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Dr Rebman Medical PA | Current | Accepting new patients | |
| Ivy Medical Group PLLC | Current | Accepting new patients |
Locations
2003 W Fulton St
Chicago, IL 60612
Phone (312) 243-2223
2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223
1122 Willow Rd
Northbrook, IL 60062
Phone (847) 686-4444
350 W Schaumburg Rd
Ste 2
Schaumburg, IL 60194
9735 Skokie Blvd
Skokie, IL 60077
Phone (847) 380-8969
17119 La Grange Rd
Tinley Park, IL 60487
Phone (708) 942-6707
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990
Interoperability endpoints
- christopher.diethert.1@3342.direct.athenahealth.com
Organizations & group practices 7
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.
-
dba Housecall Physicians of Illinois, SC
- Internal Medicine Physician
- Chicago, IL
- NPI 1568758415
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
-
- Behavioral Neurology & Neuropsychiatry Physician
- New York, NY
- NPI 1114894540
FL, IL, IN, ME
-
dba Midwest Express Clinic
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1194015388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 MURIEL CT",
"city": "WHEELING",
"state": "IL",
"postal_code": "600905918",
"telephone_number": "847-826-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771383",
"telephone_number": "847-380-8969"
}
],
"practiceLocations": [
{
"address_1": "2003 W Fulton St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606122345",
"country_code": "US",
"telephone_number": "773-794-8305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIETHERT",
"first_name": "CHRISTOPHER",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-09",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227011698",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209029691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
- Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Skokie)
- Celeste Diamante, P.T.
- Diane Home Care, Inc.
- Bianca Diaz
- Ashley Dicosola
- William Samuel Digilio, DPM
- Katy Lorraine Dilland, PA-C
- Dillon & Shaw, MD,SC (Comprehensive HealthCare For Women)
- Catherine H Dillon, MD
- Glenn Dillon, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.