Karechia Chagoya
Individual provider Active NPI Neonatal Nurse Practitioner · Chicago, IL
NPI 1699112508 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1699112508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Nurse Practitioner 363LN0000X
- License
- 209010224 (IL)
- Practice address
- 1740 W Taylor St
Chicago, IL 60612-7232 - Phone
- (866) 600-2273
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131118001868 | IL | Practitioner - Nurse Practitioner | 6406082635 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| University of Chicago | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients |
Locations
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Interoperability endpoints
- kchagoya133841@uchospital.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 209010224 | IL | Yes |
Addresses
Primary practice location
1740 W Taylor St
Chicago, IL 60612-7232
Mailing address
458 E 42ND St
Chicago, IL 60653-2712
Other providers in Chicago, IL
- Edith Merle Chaffin
- Alex Chafin
- Aenasha Milan Chag
- Michael A Chaglasian
- Debbie Chagoya
- Jaskarndip Chahal
- Rachandeep Chahal
- Ahmad Chahine
- Nita Chai
- Araceli Chaidez Cano
All providers in Chicago, IL · Neonatal Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.