Individual provider Active NPI

Chakika L Williams, APRN

  • Family Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1770047615
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.000966 Issued in IL
Practice address
9505 142ND St Ste 18
Orland Park, IL 60462-4293
NPI assigned
Jan 24, 2019
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.000966 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.000966 IL
Registered Nurse 163W00000X 041.391451 IL

Addresses

Primary practice location

9505 142ND St Ste 18
Orland Park, IL 60462-4293

Mailing address

9505 142ND St Ste 18
Orland Park, IL 60462-4293

Other practice location 1

22544 Crescent Way
Richton Park, IL 60471-1861
Phone (708) 627-3004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190718000300 IL Practitioner - Nurse Practitioner 1355676974 Reassigns benefits to 4 organizations
I20220311001508 AZ Practitioner - Nurse Practitioner 1355676974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
68.65 of 100Reported as group
Quality
52.24
Promoting interoperability
42
Improvement activities
40
Cost
58.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.391451ILMDRegistered Nurse
277.000966ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Southtown Medical Group S C CurrentSince Jun 12, 2019 Accepting new patients
Starr Care Home Healthcare LLC Current Accepting new patients
Covenant Holistic Healthcare Services, Inc. CurrentSince May 15, 2025 Accepting new patients
Skyrose Clinical & Consultant SVCS. Registered Nurse CurrentSince Apr 3, 2022 Accepting new patients
Signify Health, LLC CurrentSince Feb 15, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 9, 2019 Accepting new patients
Forever Care Home Visiting Physicians Inc CurrentSince Jun 12, 2019 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

1436 W Randolph St
Chicago, IL 60607
Phone (630) 310-2235

8205 Cass Ave
Ste 110B
Darien, IL 60561
Phone (773) 840-4747

2400 E Devon Ave
Ste 286
Des Plaines, IL 60018
Phone (847) 257-7984

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 7

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1770047615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 142ND ST STE 18",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 142ND ST STE 18",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22544 Crescent Way",
            "address_purpose": "LOCATION",
            "city": "Richton Park",
            "state": "IL",
            "postal_code": "604711861",
            "country_code": "US",
            "telephone_number": "708-627-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHAKIKA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000966",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.000966",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.391451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.