Nadia K. Bozanich, M.D.
Individual provider Active NPI Gastroenterology Physician · Hazel Crest, IL
NPI 1679911549 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1679911549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 036149328 (IL)
- Practice address
- 17850 Kedzie Ave Ste 2100
Hazel Crest, IL 60429-2056 - Phone
- (708) 957-4011
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Rush Medical College of Rush University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 684-5340
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
Hospital & facility affiliations
- Advocate Trinity Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 32 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 64 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190716000034 | IL | Practitioner - Internal Medicine | 3678713674 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036149328 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200
17850 Kedzie Ave
Ste 2100
Hazel Crest, IL 60429
Phone (708) 957-4010
Interoperability endpoints
- nbozanich235238@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036149328 | IL | Yes |
Addresses
Primary practice location
17850 Kedzie Ave Ste 2100
Hazel Crest, IL 60429-2056
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbozanich235238@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Hazel Crest, IL
- Willie Larry Blackmon
- Richard Bloomberg
- Ashley Bonnett
- Timberly Esther Booker
- Lamont A Boswell
- Divine Braboy
- Branch Family Medicine & Wellness PLLC
- Larina Branch
- Adriana Carolina Briceno Bierwirth
- Sheana Brighton
All providers in Hazel Crest, IL · Gastroenterology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.