Individual provider Active NPI

Azmat Chaudhry, APRN, ANP-BC, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1457768343
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209008937 Issued in IL
Practice address
1165 N Clark St
Chicago, IL 60610-2702
Phone
(312) 280-8140
NPI assigned
Jul 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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 209008937 IL Primary

Addresses

Primary practice location

1165 N Clark St
Chicago, IL 60610-2702

Mailing address

1165 N Clark St
Chicago, IL 60610-2702

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
I20140819000373 IL Practitioner - Nurse Practitioner 4284851023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians

Practice addresses (Care Compare)

1165 N Clark St
Chicago, IL 60610-2702
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209008937ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Feb 13, 2025 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

741 W 31st St
Chicago, IL 60616
Phone (312) 567-9044

344 W Hubbard St
Chicago, IL 60654
Phone (312) 222-2570

4801 N Central Ave
Chicago, IL 60630
Phone (773) 282-2828

4051 N Lincoln Ave
Chicago, IL 60618
Phone (773) 871-2611

6150 N Broadway St
Chicago, IL 60660
Phone (773) 274-9337

1200 N Larrabee St
Chicago, IL 60610
Phone (312) 470-8945

1154 S Clark St
Chicago, IL 60605
Phone (312) 212-6300

2656 N Elston Ave
Chicago, IL 60647
Phone (773) 252-1994

3637 N Southport Ave
Chicago, IL 60613
Phone (773) 347-5282

1165 N Clark St
Chicago, IL 60610
Phone (312) 280-8140

3333 Central St
Evanston, IL 60201
Phone (847) 563-9016

101 Asbury Ave
Evanston, IL 60202
Phone (847) 905-3300

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

345 Madison St
Oak Park, IL 60302
Phone (708) 386-2157

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

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.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1457768343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102702",
            "telephone_number": "312-280-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "AZMAT",
        "name_prefix": "Ms.",
        "credential": "APRN, ANP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.