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Individual provider Active NPI

Laura Fetzer, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1346378148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Practice address
5841 S Maryland Ave # 2050
Depatrtment of Gynecology
Chicago, IL 60637-1447
Phone
(773) 834-1792
Fax
(773) 702-5159
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Chicago 1,674 clinicians
The University of Chicago Medical Center 907 clinicians
Adventist Health Partners, Inc. 253 clinicians

Practice addresses (Care Compare)

11 Salt Creek LN
Suite 300
Hinsdale, IL 60521-2990
Phone (888) 824-0200

222 US Hwy 41
Schererville, IN 46375-1271
Phone (219) 865-3024

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

911 N Elm St
Suite 301
Hinsdale, IL 60521-3642
Phone (630) 986-1420

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040922001147 IL Practitioner - Nurse Practitioner 6305814740 Reassigns benefits to 3 organizations
I20220603000201 IN Practitioner - Nurse Practitioner 6305814740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309-002119ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Oct 1, 2003 Accepting new patients
University of Chicago CurrentSince Dec 9, 2009 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 1, 2003 Accepting new patients
Adventist Health Partners,Inc CurrentSince Jul 19, 2025 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc CurrentSince Jul 19, 2025 Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

911 N Elm St
Ste 301
Hinsdale, IL 60521
Phone (630) 856-8650

11 Salt Creek Ln
#300
Hinsdale, IL 60521

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

Interoperability endpoints

  • Direct secure messaging: lfetzer5309151@adventhealth.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X IL Primary

Addresses

NPPES NPI Registry

Primary practice location

5841 S Maryland Ave # 2050
Depatrtment of Gynecology
Chicago, IL 60637-1447

Mailing address

5841 S. Maryland Avenue, MC 2050
Depatrtment of Gynecology
Chicago, IL 60637
Phone (773) 834-1792

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346378148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S. MARYLAND AVENUE, MC 2050",
            "address_2": "DEPATRTMENT OF GYNECOLOGY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60637",
            "telephone_number": "773-834-1792",
            "fax_number": "773-702-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # 2050",
            "address_2": "DEPATRTMENT OF GYNECOLOGY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-834-1792",
            "fax_number": "773-702-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETZER",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.