Individual provider Active NPI

Caitlin Schwark, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1750988432
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023235 Issued in IL
Practice address
2868 N Broadway St
Chicago, IL 60657-6017
Phone
(773) 569-3525
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 F10200299 MI
Family Nurse Practitioner 363LF0000X 209023235 IL Primary

Addresses

Primary practice location

2868 N Broadway St
Chicago, IL 60657-6017

Mailing address

2868 N Broadway St
Chicago, IL 60657-6017
Phone (773) 569-3525

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
I20220616002111 IL Practitioner - Nurse Practitioner 6406235738 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10200299MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince May 16, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 16, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 3, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 3, 2023 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

2868 N Broadway St
Chicago, IL 60657
Phone (773) 569-3525

219 W Chicago Ave
Chicago, IL 60654
Phone (312) 878-1945

2701 Patriot Blvd
Ste 110
Glenview, IL 60026
Phone (312) 694-2273

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 4

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1750988432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576017",
            "telephone_number": "773-569-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576017",
            "telephone_number": "773-569-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARK",
        "first_name": "CAITLIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F10200299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.