Individual provider Active NPI

Angela Lechowicz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1760236152
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209029402 Issued in IL
Practice address
213 N Morgan St Unit 1D
Chicago, IL 60607-1721
Phone
(312) 333-6124
NPI assigned
Apr 12, 2024
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209029402 IL Primary

Addresses

Primary practice location

213 N Morgan St Unit 1D
Chicago, IL 60607-1721

Mailing address

10 E Ontario St Apt 3708
Chicago, IL 60611-2759
Phone (224) 616-7972

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
I20240722003145 IL Practitioner - Nurse Practitioner 2264978675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Medical LLCGroup PAC ID 5496938532, 6 clinicians
Riveredge Hospital IncGroup PAC ID 3870401268, 21 clinicians

Practice addresses (Care Compare)

213 N Morgan St
Unit 1D
Chicago, IL 60607-1721
Phone (312) 888-2986

8311 Roosevelt Rd
Forest Park, IL 60130-2529
Phone (708) 771-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riveredge Hospital Inc CurrentSince Jun 7, 2024 Accepting new patients

Locations

8311 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-4968

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, 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": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1760236152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E ONTARIO ST APT 3708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112759",
            "telephone_number": "224-616-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MORGAN ST UNIT 1D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071721",
            "telephone_number": "312-333-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHOWICZ",
        "first_name": "ANGELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209029402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.