Individual provider Active NPI

Vanessa Claire Archil, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1285046888
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036143143 Issued in IL
Practice address
6121 N Elston Ave
Chicago, IL 60646-4708
Phone
(773) 792-0209
NPI assigned
May 30, 2014
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036143143 IL Primary

Addresses

Primary practice location

6121 N Elston Ave
Chicago, IL 60646-4708

Mailing address

6121 N Elston Ave
Chicago, IL 60646-4708
Phone (773) 792-0209

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address varchil49844@ce-direct.presencehealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619003229 IL Practitioner - Obstetrics/Gynecology 4284989088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women First Specialists SCGroup PAC ID 3971520909, 3 clinicians

Practice addresses (Care Compare)

2845 N Sheridan Rd
Suite 712
Chicago, IL 60657-6183
Phone (773) 525-0000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Jul 23, 2018 Accepting new patients
Women First Specialists, S.C. Obstetrics & Gynecology CurrentSince Aug 13, 2018 Accepting new patients
Resurrection Services CurrentSince Jul 23, 2018 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Saint Anthony Health Affiliates Past Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

2845 N Sheridan Rd
Ste 712
Chicago, IL 60657
Phone (773) 525-0000

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

2913 N Commonwealth Ave
Chicago, IL 60657
Phone (773) 665-3080

6121 N Elston Ave
Chicago, IL 60646
Phone (773) 792-0209

62311 Collection Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: varchil49844@ce-direct.presencehealth.org

Organizations & group practices 5

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 1

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": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1285046888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464708",
            "telephone_number": "773-792-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464708",
            "telephone_number": "773-792-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIL",
        "first_name": "VANESSA",
        "middle_name": "CLAIRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-30",
        "last_updated": "2021-12-17",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036143143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "varchil49844@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2913 N Commonwealth Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.