Vanessa Przybyla, APN-CNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

277.001407 Issued in IL

Practice address

7931 W Country Club LN
Elmwood Park, IL 60707-3533

Phone

(708) 790-1952

NPI assigned

Oct 21, 2014

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Vanessa Flores Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ivory Wellness PLLC

  • Clinic/Center
  • River Forest, IL
  • NPI 1003640319
  NPD Authorized official
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162

  IL

  Medicare reassignment
• Proper Balance Healthcare

  • Clinic/Center
  • Chicago, IL
  • NPI 1548443088
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1316341209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 W COUNTRY CLUB LN",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073533",
            "telephone_number": "708-790-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 W COUNTRY CLUB LN",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073533",
            "telephone_number": "708-790-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9977 Woods Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771057",
            "country_code": "US",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRZYBYLA",
        "first_name": "VANESSA",
        "credential": "APN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2021-08-31",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011888",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011888",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "277.001407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "FLORES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• PPD North Avenue LLC (Park Place Dental)
• Presence Ambulatory Services (Presence Immediate Care - Elmwood Park)
• Presence Ambulatory Services
• Proactive Health Care (Grand Clinic)
• Prosniewski and Papa PC
• Psychiatric Consultants of Illinois
• Psychology of Stuff LLC
• PT Chiro Plus LTD
• Antonio F Pugliese, DN
• Spencer Pullos, D.D.S.

• Family Medicine Physician in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.