Active NPI
Parvinder Kaur Randhawa, FNP-BC
- Family Nurse Practitioner
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209032333
- Practice address
- 9730 S Western Ave Ste 700
Evergreen Park, IL 60805-2814 - Phone
- (708) 425-1907
- NPI assigned
- May 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 209032333 | IL | Primary |
Addresses
Primary practice location
9730 S Western Ave Ste 700
Evergreen Park, IL 60805-2814
Mailing address
10260 191St St Ste 100
Mokena, IL 60448-8802
Phone (708) 425-1907
Other practice location 1
10260 191st St Ste 100
Mokena, IL 60448-8802
Phone (708) 425-1907
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251007002694 | IL | Practitioner - Nurse Practitioner | 8527565548 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12859 Stellar LN
Plainfield, IL 60585-4210
1879 Bay Scott Cir
Suite 111
Naperville, IL 60540-1108
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209032333 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Lota Healthcare LTD | Current | Accepting new patients | |
| Providea Health Partners, LLC | Current | Accepting new patients | |
| Suburban Endocrinology & Diabetes | Past | Accepting new patients |
Locations
9730 S Western Ave
Ste 700
Evergreen Pk, IL 60805
Phone (708) 425-1907
10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.70301
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.
-
- Obstetrics & Gynecology Physician
- Mokena, IL
- NPI 1437755147
-
- Obstetrics & Gynecology Physician
- Mokena, IL
- NPI 1770911208
-
- Endocrinology, Diabetes & Metabolism Physician
- Arlington Heights, IL
- NPI 1780879866
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1639969850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10260 191ST ST STE 100",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488802",
"telephone_number": "708-425-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 S WESTERN AVE STE 700",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052814",
"telephone_number": "708-425-1907"
}
],
"practiceLocations": [
{
"address_1": "10260 191st St Ste 100",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604488802",
"country_code": "US",
"telephone_number": "708-425-1907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDHAWA",
"first_name": "PARVINDER",
"middle_name": "KAUR",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-09",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209032333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.