Individual provider Active NPI

Christine Najarian, PA-C

  • Physician Assistant
  • Evergreen Park, IL
National Provider Identifier
1518445543
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085006669 Issued in IL
Practice address
9760 S Kedzie Ave
Evergreen Park, IL 60805-3109
Phone
(708) 423-6209
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 085006669 IL Primary

Addresses

Primary practice location

9760 S Kedzie Ave
Evergreen Park, IL 60805-3109

Mailing address

3904 N Janssen Ave Apt 1
Chicago, IL 60613-4941

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
I20190510000716 IL Practitioner - Physician Assistant 5395088546 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085006669ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Headache Lab Single Specialty CurrentSince Apr 3, 2019 Accepting new patients

Locations

9760 S Kedzie Ave
Ste 3
Evergreen Pk, IL 60805
Phone (708) 423-6209

9760 S Kedzie Ave
Ste 2
Evergreen Pk, IL 60805
Phone (708) 423-8150

9760 S Kedzie Ave
Evergreen Pk, IL 60805
Phone (708) 423-2660

Interoperability endpoints

  • Direct secure messaging: christine.najarian.1@27901.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1518445543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 N JANSSEN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053109",
            "telephone_number": "708-423-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJARIAN",
        "first_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.