Active NPI
Amelia Bazzi
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209025605
- Practice address
- 875 N Rush St FL 2
Chicago, IL 60611-2030 - Phone
- (872) 274-2224
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024177853 | VA | |
| Family Nurse Practitioner | 363LF0000X | 209025605 | IL | Primary |
Addresses
Primary practice location
875 N Rush St FL 2
Chicago, IL 60611-2030
Mailing address
11200 Lincoln Hwy
Mokena, IL 60448-8208
Other practice location 1
3514 W Cary St
Richmond, VA 23221-2729
Phone (804) 355-8533 ext. 8223
Other practice location 2
11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
Locations
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
13800 Hull Street Rd
Midlothian, VA 23112
Phone (804) 360-7598
3514 W Cary St
Richmond, VA 23221
Phone 8043558533 ext. 8223
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Leesburg, VA
- NPI 1417076829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1386294262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 LINCOLN HWY",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 N RUSH ST FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112030",
"telephone_number": "872-274-2224"
}
],
"practiceLocations": [
{
"address_1": "3514 W Cary St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232212729",
"country_code": "US",
"telephone_number": "804-355-8533 x8223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11200 Lincoln Hwy",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604488208",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAZZI",
"first_name": "AMELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024177853",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209025605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.