Individual provider Active NPI

Christine Elizabeth Kowalewski, NURSE PRACTITIONER

  • Nurse Practitioner
  • Oswego, IL
National Provider Identifier
1306366794
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.016062 Issued in IL
Practice address
4789 Route 71
Oswego, IL 60543
Phone
(630) 692-5731
Fax
(630) 692-5730
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016062 IL
Nurse Practitioner 363L00000X 209.016062 IL Primary

Addresses

Primary practice location

4789 Route 71
Oswego, IL 60543

Mailing address

4789 Route 71
Oswego, IL 60543-7415
Phone (630) 692-5730

Other practice location 1

302 E New York St
Aurora, IL 60505-3424
Phone (630) 844-0080

Other practice location 2

472 Route 47
Sugar Grove, IL 60554-8107
Phone (630) 466-6000

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
I20170721001240 IL Practitioner - Nurse Practitioner 9638449788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

444 N Eola Rd
Suite 110 Rush Copley Medical Group
Aurora, IL 60502-9619
Phone (630) 692-5660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.016062ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP CurrentSince Aug 1, 2018 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Rush Copley Medical Group Past Accepting new patients

Locations

444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2340 S Eola Rd
Ste 100
Aurora, IL 60503
Phone (630) 692-5190

1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

4390 State Route 71
Oswego, IL 60543
Phone (630) 551-3338

4789 State Route 71
Oswego, IL 60543
Phone (630) 692-5730

1100 W Veterans Pkwy
Ste 200
Yorkville, IL 60560
Phone (630) 236-4270

Interoperability endpoints

  • Direct secure messaging: ckowalewski144288@direct.rush.rush-health.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1306366794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4789 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437415",
            "telephone_number": "630-692-5730",
            "fax_number": "630-692-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "60543",
            "telephone_number": "630-692-5731",
            "fax_number": "630-692-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 E New York St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605053424",
            "country_code": "US",
            "telephone_number": "630-844-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "472 Route 47",
            "address_purpose": "LOCATION",
            "city": "Sugar Grove",
            "state": "IL",
            "postal_code": "605548107",
            "country_code": "US",
            "telephone_number": "630-466-6000",
            "fax_number": "630-466-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALEWSKI",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016062",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.016062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.