Individual provider Active NPI

Gerald M Cholewa, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1770260481
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209027737 Issued in IL
Practice address
1120 N Ridgeland Ave
Oak Park, IL 60302-1136
Phone
(312) 502-8915
NPI assigned
Jul 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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 209027737 IL Primary

Addresses

Primary practice location

1120 N Ridgeland Ave
Oak Park, IL 60302-1136

Mailing address

1120 N Ridgeland Ave
Oak Park, IL 60302-1136
Phone (312) 502-8915

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
I20250929000937 IL Practitioner - Nurse Practitioner 3870098965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18670 Graphics Dr
Suite 200
Tinley Park, IL 60477-4605

555 Wilson LN
Des Plaines, IL 60016-4729

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
2014 Health, LLC CurrentSince Sep 15, 2025 Accepting new patients
Wisemind Medication Management Psychiatric/Mental Health CurrentSince May 19, 2024 Accepting new patients
I2 Health Opco LLC CurrentSince May 1, 2026 Accepting new patients

Locations

555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565

9014 N Wood Sage Rd
Peoria, IL 61615
Phone (844) 360-8600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1770260481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021136",
            "telephone_number": "312-502-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021136",
            "telephone_number": "312-502-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLEWA",
        "first_name": "GERALD",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.