Individual provider Active NPI

Rochelle L Hawkins, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1306899372
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036068578 Issued in IL
Practice address
2315 E 93Rd St
Ste.441
Chicago, IL 60617-3936
Phone
(773) 374-3200
Fax
(773) 374-3819
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036068578 IL Primary

Addresses

Primary practice location

2315 E 93Rd St
Ste.441
Chicago, IL 60617-3936

Mailing address

2315 E 93Rd St
Ste.441
Chicago, IL 60617-3936
Phone (773) 374-3200

Other practice location 1

31 W 155th St
Harvey, IL 60426-3556
Phone (708) 596-5177

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
I20061013000448 IL Practitioner - Family Practice 0840296893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036068578ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Treatment Center - Lake Zurich LLC CurrentSince Aug 21, 2024 Accepting new patients
Revive Treatment Center - Hoffman Estates LLC CurrentSince May 23, 2023 Accepting new patients
Drexel Counseling Services, Inc. CurrentSince Apr 20, 2020 Accepting new patients
Family Christian Health Center Past Accepting new patients
Family Christian Health Center Past Accepting new patients
Midwest Physicians Network Inc PastSince Nov 1, 1995 Accepting new patients

Locations

365 Surryse Rd
Ste 120
Lake Zurich, IL 60047
Phone (847) 320-1133

Organizations & group practices 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1306899372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "STE.441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-374-3200",
            "fax_number": "773-374-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "STE.441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-374-3200",
            "fax_number": "773-374-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 W 155th St",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604263556",
            "country_code": "US",
            "telephone_number": "708-596-5177",
            "fax_number": "708-596-5518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ROCHELLE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036068578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.