Individual provider Active NPI

Sarah Ann Slattery, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Oakbrook Terrace, IL
National Provider Identifier
1689173965
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017139 Issued in IL
Practice address
1 Transam Plaza Dr Ste 100
Oakbrook Terrace, IL 60181-4286
Phone
(630) 627-7500
Fax
(630) 627-7502
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 209.017139 IL Primary

Addresses

Primary practice location

1 Transam Plaza Dr Ste 100
Oakbrook Terrace, IL 60181-4286

Mailing address

1530 S State St Apt 401
Chicago, IL 60605-2965
Phone (773) 899-0656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180405000699 IL Practitioner - Nurse Practitioner 2860755840 Reassigns benefits to 1 organization
I20201217002747 IN Practitioner - Nurse Practitioner 2860755840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smart Physician Systems PCGroup PAC ID 3678853645, 8 clinicians

Practice addresses (Care Compare)

10176 W 400
Suite C
Michigan City, IN 46360-9009
Phone (219) 873-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.017139ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Physician Systems PC Single Specialty CurrentSince Dec 1, 2020 Accepting new patients
Solley'S Medical Group Single Specialty CurrentSince May 7, 2022 Accepting new patients

Locations

4239 W 95th St
Oak Lawn, IL 60453
Phone (708) 519-0188

8102 Georgia St
Merrillville, IN 46410
Phone (219) 736-5718

10176 W 400 N
Ste C
Michigan City, IN 46360
Phone (219) 873-1777

8242 Calumet Ave
Ste 1
Munster, IN 46321
Phone (219) 595-0300

Organizations & group practices 2

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1689173965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S STATE ST APT 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052965",
            "telephone_number": "773-899-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRANSAM PLAZA DR STE 100",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814286",
            "telephone_number": "630-627-7500",
            "fax_number": "630-627-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.