Active NPI
Brittney Nowicki, DO
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1669975454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.157570
- Practice address
- 2734 W 87TH St
Chicago, IL 60652-3937 - Phone
- (773) 918-4700
- Fax
- (773) 313-3763
- NPI assigned
- Mar 17, 2018
- 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 Medicine Physician | 207Q00000X | 036.157570 | IL | Primary |
Addresses
Primary practice location
2734 W 87TH St
Chicago, IL 60652-3937
Mailing address
2734 W 87TH St
Chicago, IL 60652-3937
Phone (773) 918-4700
Other practice location 1
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
Other practice location 2
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Illinois Holding, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1669975454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2734 W 87TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523937",
"telephone_number": "773-918-4700",
"fax_number": "773-313-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2734 W 87TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523937",
"telephone_number": "773-918-4700",
"fax_number": "773-313-3763"
}
],
"practiceLocations": [
{
"address_1": "660 N Westmoreland Rd",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451659",
"country_code": "US",
"telephone_number": "847-234-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "660 N Westmoreland Rd",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451659",
"country_code": "US",
"telephone_number": "847-234-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWICKI",
"first_name": "BRITTNEY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-17",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.157570",
"primary": true
}
],
"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 Oct 21, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.