Individual provider Active NPI

Christabelle Andrea B Cabanilla, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1447412366
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036127298 Issued in IL
Practice address
850 W 63Rd St
Chicago, IL 60621-1902
Phone
(773) 377-7304
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008013712 MO
Family Medicine Physician 207Q00000X 036127298 IL Primary

Addresses

Primary practice location

850 W 63Rd St
Chicago, IL 60621-1902

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 377-7304

Other names 1

  • Christabelle Andrea Bernardo Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000795 IL Practitioner - Family Practice 7214108471 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036127298ILMDFamily Medicine Physician
2008013712MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Jan 21, 2019 Accepting new patients
PCC Community Wellness Center CurrentSince Jan 30, 2017 Accepting new patients
PCC Community Wellness Center CurrentSince Jan 30, 2017 Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

850 W 63rd St
Chicago, IL 60621
Phone (773) 377-7304

1111 Superior St
Ste 101
Melrose Park, IL 60160
Phone (708) 344-2161

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: christabelle.cabanilla@oakstreethealth.gwaydirect.com

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PC 227 clinicians

Practice addresses (Care Compare)

850 W 63Rd St
Chicago, IL 60621-1902
Phone (312) 733-9730

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1447412366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-377-7304",
            "fax_number": "773-634-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211902",
            "telephone_number": "773-377-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANILLA",
        "first_name": "CHRISTABELLE ANDREA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008013712",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036127298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTABELLE",
            "last_name": "BERNARDO",
            "middle_name": "ANDREA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.