Individual provider Active NPI

Rosalynn J Anderson

  • Psychiatric/Mental Health Nurse Practitioner
  • Richton Park, IL
National Provider Identifier
1689188526
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277001563 Issued in IL
Practice address
600 Cedar Ridge LN Apt 102
Richton Park, IL 60471-2207
Phone
(708) 299-3056
NPI assigned
Nov 30, 2017
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016948 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001563 IL Primary

Addresses

Primary practice location

600 Cedar Ridge LN Apt 102
Richton Park, IL 60471-2207

Mailing address

600 Cedar Ridge LN Apt 102
Richton Park, IL 60471-2207
Phone (708) 299-3056

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180110002669 IL Practitioner - Nurse Practitioner 9638335219 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 W 76TH St
Chicago, IL 60620-1640
Phone (708) 299-3056

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Services, LTD. CurrentSince Apr 17, 2018 Accepting new patients
Perspective Behavioral and Pain Solutions LTD CurrentSince Oct 23, 2020 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Feb 8, 2020 Accepting new patients
Cook County Current Accepting new patients
Tamid Medical Group CurrentSince Jan 12, 2019 Accepting new patients
Cook County CurrentSince Sep 19, 2025 Accepting new patients
Cook County CurrentSince Sep 19, 2025 Accepting new patients
Adonis Healthcare,Inc PastSince Jul 25, 2012 Accepting new patients

Locations

1900 W Polk St
Ste 220C
Chicago, IL 60612

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

3825 N Central Ave
Chicago, IL 60634
Phone (773) 282-6188

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

2720 S River Rd
Ste 130
Des Plaines, IL 60018
Phone (224) 470-6107

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

1105 Milwaukee Ave
Riverwoods, IL 60015
Phone (847) 215-1391

2158 45th St
Highland, IN 46322
Phone (219) 554-0500

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1689188526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CEDAR RIDGE LN APT 102",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712207",
            "telephone_number": "708-299-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CEDAR RIDGE LN APT 102",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712207",
            "telephone_number": "708-299-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROSALYNN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016948",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richton Park, IL

Sources for this page

Verify at the official NPI Registry.