Active NPI
Rajesh Chattergoon, APN
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1639337942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.010937
- Practice address
- 311 N Aberdeen St
Suite 100B
Chicago, IL 60607-1249 - Phone
- (312) 733-0909
- NPI assigned
- May 23, 2008
- Last updated
- Apr 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.010937 | IL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 209.010937 | IL | |
| Primary Care Nurse Practitioner | 363LP2300X | 209.010937 | IL | |
| Registered Nurse | 163W00000X | 591215-1 | NY | |
| Registered Nurse | 163W00000X | 041.409457 | IL |
Addresses
Primary practice location
311 N Aberdeen St
Suite 100B
Chicago, IL 60607-1249
Mailing address
311 N Aberdeen St
Suite 100B
Chicago, IL 60607-1249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.409457 | IL | MD | Registered Nurse |
| 591215-1 | NY | MD | Registered Nurse |
| 209.010937 | IL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernesto J. Villegas MD, SC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12691/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1639337942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N ABERDEEN ST",
"address_2": "SUITE 100B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N ABERDEEN ST",
"address_2": "SUITE 100B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071249",
"telephone_number": "312-733-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTERGOON",
"first_name": "RAJESH",
"name_prefix": "Mr.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-23",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.010937",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209.010937",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209.010937",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "591215-1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.409457",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.