Active NPI
Christina Mitsdarffer
- Family Nurse Practitioner
- Westmont, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209013783
- Practice address
- 700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569 - Phone
- (630) 528-3215
- NPI assigned
- Mar 10, 2016
- Last updated
- Nov 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209013783 | IL | Primary |
Addresses
Primary practice location
700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569
Mailing address
700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569
Phone (630) 528-3215
Other practice location 1
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 BS Crescent St
Gilman, IL 60938-1518
Phone (815) 265-4255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209013783 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255
720 S Crescent St
#B
Gilman, IL 60938
Phone (815) 265-4255
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
350 N Wall St
Ste B302
Kankakee, IL 60901
Phone (815) 329-6500
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
611 S Division St
Peotone, IL 60468
Phone (708) 258-9058
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Interoperability endpoints
- cmitsdarffer352991@uchospital.direct-ci.com
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.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
dba UCMC Pharmacy Services
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1639530298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E OGDEN AVE",
"address_2": "SUITE 202",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595569",
"telephone_number": "630-528-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E OGDEN AVE",
"address_2": "SUITE 202",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595569",
"telephone_number": "630-528-3215"
}
],
"practiceLocations": [
{
"address_1": "5841 S MARYLAND AVE",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITSDARFFER",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-10",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209013783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.