Individual provider Active NPI

Sandeep K. Atwal, APN

  • Family Nurse Practitioner
  • Palos Hills, IL
National Provider Identifier
1245801059
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.003009 Issued in IL
Practice address
10714 S Roberts Rd
Palos Hills, IL 60465-2314
Phone
(708) 631-1326
NPI assigned
Jul 3, 2021
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.003009 IL Primary

Addresses

Primary practice location

10714 S Roberts Rd
Palos Hills, IL 60465-2314

Mailing address

10714 S Roberts Rd
Palos Hills, IL 60465-2314
Phone (708) 631-1326

Other practice location 1

400 N Highland Ave
Aurora, IL 60506-3814
Phone (630) 978-2532

Other practice location 2

3535 E New York St Ste 115
Aurora, IL 60504-4466
Phone (630) 499-1900

Other practice location 3

425 Ogden Ave
Downers Grove, IL 60515-3066
Phone (630) 506-5553

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
I20250311002715 IL Practitioner - Nurse Practitioner 5698149706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Home Care Providers P CGroup PAC ID 2062934490, 4 clinicians
Immediate Home Care Physicians IncGroup PAC ID 2567521594, 2 clinicians

Practice addresses (Care Compare)

10714 S Roberts Rd
Palos Hills, IL 60465-2314
Phone (708) 631-1326

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.003009ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Home Care Providers P C CurrentSince Mar 1, 2025 Accepting new patients
Immediate Home Care Physicians, Inc CurrentSince Feb 1, 2025 Accepting new patients
Fox Valley Urgent Care, Inc. CurrentSince Aug 1, 2021 Accepting new patients

Locations

3535 E New York St
Ste 115
Aurora, IL 60504
Phone (630) 499-1900

425 Ogden Ave
Downers Grove, IL 60515
Phone (630) 506-5553

10714 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 631-1326

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1245801059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652314",
            "telephone_number": "708-631-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652314",
            "telephone_number": "708-631-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605063814",
            "country_code": "US",
            "telephone_number": "630-978-2532",
            "fax_number": "630-892-2832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 E New York St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605044466",
            "country_code": "US",
            "telephone_number": "630-499-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605153066",
            "country_code": "US",
            "telephone_number": "630-506-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWAL",
        "first_name": "SANDEEP",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-03",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.003009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

Verify at the official NPI Registry.