Individual provider Active NPI

Nicole Naglich, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Park, IL
National Provider Identifier
1437805199
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.024981 Issued in IL
Practice address
8311 Roosevelt Rd
Forest Park, IL 60130-2529
Phone
(708) 771-7000
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 041457503 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.024981 IL Primary

Addresses

Primary practice location

8311 Roosevelt Rd
Forest Park, IL 60130-2529

Mailing address

1542 Cleveland Ave
La Grange Park, IL 60526-1308
Phone (847) 420-1090

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
I20220621001387 IL Practitioner - Nurse Practitioner 1456730563 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Mental Health LTDGroup PAC ID 6204378714, 10 clinicians
Chicago BH Hospital LLCGroup PAC ID 4284021262, 3 clinicians

Practice addresses (Care Compare)

1225 Richards St
Joliet, IL 60433-2745
Phone (312) 554-5431

4720 N Clarendon Ave
Chicago, IL 60640-5122
Phone (773) 878-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041457503ILMDPsychiatric/Mental Health Registered Nurse
209.024981ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iatreia Mental Health SC CurrentSince Apr 1, 2023 Accepting new patients
Matrix Mental Health LTD CurrentSince May 8, 2025 Accepting new patients
Silver Oaks Behavioral, LLC CurrentSince May 1, 2023 Accepting new patients
Chicago BH Hospital, LLC Current Accepting new patients
Chicago BH Hospital, LLC CurrentSince May 2, 2023 Accepting new patients
Chicago BH Hospital, LLC CurrentSince May 2, 2023 Accepting new patients
Iatreia Mental Health SC CurrentSince Apr 1, 2023 Accepting new patients
Beaivi Inc Psychiatric/Mental Health CurrentSince Dec 18, 2025 Accepting new patients

Locations

4720 N Clarendon Ave
Chicago, IL 60640
Phone (773) 313-4401

850 W Lawrence Ave
Chicago, IL 60640
Phone (773) 357-6772

1225 Richards St
Joliet, IL 60433
Phone (312) 554-5431

1004 Pawlak Pkwy
New Lenox, IL 60451
Phone (815) 215-3300

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Organizations & group practices 8

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1437805199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 CLEVELAND AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261308",
            "telephone_number": "847-420-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302529",
            "telephone_number": "708-771-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLICH",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041457503",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.024981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

Verify at the official NPI Registry.