Individual provider Active NPI

Christopher Diethert, FNP-C

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1194015388
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029691 Issued in IL
Practice address
9735 Skokie Blvd
Skokie, IL 60077-1383
Phone
(847) 380-8969
NPI assigned
Apr 9, 2011
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250106003521 IL Practitioner - Nurse Practitioner 3870021702 Reassigns benefits to 5 organizations
I20260313001408 ME Practitioner - Nurse Practitioner 3870021702 Reassigns benefits to 2 organizations
I20260318004406 FL Practitioner - Nurse Practitioner 3870021702 Reassigns benefits to 3 organizations
I20260414000867 IN Practitioner - Nurse Practitioner 3870021702 Reassigns benefits to 2 organizations

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
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
MD @ Home Illinois, SCGroup PAC ID 7810167830, 53 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

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

LicenseStateTypeSpecialty
227011698ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rebman BH LLC CurrentSince Dec 25, 2025 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Feb 4, 2026 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 21, 2025 Accepting new patients
MD @ Home Illinois, SC CurrentSince Dec 9, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 21, 2025 Accepting new patients
Dr Rebman Medical PA CurrentSince Dec 13, 2025 Accepting new patients
Ivy Medical Group PLLC CurrentSince Mar 29, 2025 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.