Individual provider Active NPI

Alexandra Sulik, NP

  • Adult Health Nurse Practitioner
  • Willow Springs, IL
National Provider Identifier
1508186826
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
277000004 Issued in IL
Practice address
300 Village Cir Unit a
Willow Springs, IL 60480-1812
Phone
(815) 988-8100
Fax
(779) 210-4583
NPI assigned
Jun 9, 2010
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.008166 IL
Adult Health Nurse Practitioner 363LA2200X 277000004 IL Primary

Addresses

Primary practice location

300 Village Cir Unit a
Willow Springs, IL 60480-1812

Mailing address

300 Village Cir Unit a
Willow Springs, IL 60480-1812
Phone (815) 708-0382

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
I20101111000911 IL Practitioner - Nurse Practitioner 6305031642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Merit-based Incentive Payment System (MIPS)

Final score
58.33 of 100Reported as group
Quality
41.25
Promoting interoperability
0
Improvement activities
40
Cost
69.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.008166ILMDAdult Health Nurse Practitioner
277000004ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Adult Health CurrentSince Oct 2, 2013 Accepting new patients
In Home Medical Group LLC CurrentSince Oct 7, 2019 Accepting new patients
Community Home Physicians, LLC CurrentSince Jan 15, 2025 Accepting new patients
PSHC, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
The SNF Group, PLLC Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

6504 Joliet Rd
Ste A
Countryside, IL 60525
Phone (708) 639-4342

977 N Oaklawn Ave
Ste 104
Elmhurst, IL 60126
Phone (960) 832-1775

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

1S450 Summit Ave
Ste 270
Oakbrook Terrace, IL 60181

4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1508186826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE CIR UNIT A",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801812",
            "telephone_number": "815-708-0382",
            "fax_number": "779-210-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VILLAGE CIR UNIT A",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801812",
            "telephone_number": "815-988-8100",
            "fax_number": "779-210-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIK",
        "first_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.008166",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277000004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, IL

Sources for this page

Verify at the official NPI Registry.