Individual provider Active NPI

Chateka Grew, FNP

  • Family Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1699576090
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.031753 Issued in IL
Practice address
4457 Southwest Hwy
Oak Lawn, IL 60453-3576
Phone
(708) 598-2448
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.031753 IL Primary

Addresses

Primary practice location

4457 Southwest Hwy
Oak Lawn, IL 60453-3576

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

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
I20250731004428 IL Practitioner - Nurse Practitioner 2860900925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Center South LLCGroup PAC ID 5597908434, 6 clinicians

Practice addresses (Care Compare)

4457 Southwest Hwy
Suite 201
Oak Lawn, IL 60453-3778
Phone (708) 598-2448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.031753ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Center South LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

4457 Southwest Hwy
Ste 201
Oak Lawn, IL 60453
Phone (708) 598-2448

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1699576090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171",
            "fax_number": "815-435-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533576",
            "telephone_number": "708-598-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREW",
        "first_name": "CHATEKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.031753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.