Individual provider Active NPI

Evelyn Costales, APN

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1447067442
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209031223 Issued in IL
Practice address
5906 Pershing Ave
Downers Grove, IL 60516-1727
Phone
(847) 436-1412
NPI assigned
Dec 12, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209031223 IL Primary

Addresses

Primary practice location

5906 Pershing Ave
Downers Grove, IL 60516-1727

Mailing address

5906 Pershing Ave
Downers Grove, IL 60516-1727
Phone (847) 436-1412

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
I20250304001073 IL Practitioner - Nurse Practitioner 9436670783 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Hospice of Chicagoland LLCGroup PAC ID 0840210019, 19 clinicians

Practice addresses (Care Compare)

3232 S Martin Luther King Dr
Chicago, IL 60616-3924
Phone (312) 427-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209031223ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice of Chicagoland LLC CurrentSince Jan 1, 2025 Accepting new patients
Natarajan Medical Group of Illinois, PC CurrentSince Mar 1, 2026 Accepting new patients
Unity Hospice of Western Illinois, LLC CurrentSince Mar 6, 2025 Accepting new patients

Locations

600 W Cermak Rd
Ste 3D
Chicago, IL 60616
Phone (312) 427-6000

915 N Caron Rd
Rochelle, IL 61068
Phone (815) 561-8866

6400 Shafer Ct
Ste 300
Rosemont, IL 60018
Phone (800) 570-8809

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1447067442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 PERSHING AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161727",
            "telephone_number": "847-436-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 PERSHING AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161727",
            "telephone_number": "847-436-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTALES",
        "first_name": "EVELYN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.