Individual provider Active NPI

Judita Slusnys, APN

  • Family Nurse Practitioner
  • Bourbonnais, IL
National Provider Identifier
1770956476
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013450 Issued in IL
Practice address
2375 N Cliff Dr
Bourbonnais, IL 60914-4309
Phone
(708) 228-8117
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 209.013450 IL Primary

Addresses

Primary practice location

2375 N Cliff Dr
Bourbonnais, IL 60914-4309

Mailing address

2375 N Cliff Dr
Bourbonnais, IL 60914-4309
Phone (708) 228-8117

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
I20151113001951 IL Practitioner - Nurse Practitioner 2466762802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Group LTDGroup PAC ID 1153585658, 7 clinicians

Practice addresses (Care Compare)

4419 W 95TH St
Oak Lawn, IL 60453-7223
Phone (708) 576-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.013450ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Family CurrentSince Nov 23, 2015 Accepting new patients
Southwest Medical Group LTD CurrentSince Jun 19, 2023 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Faminamed Healthcare Providers SC PastSince Jun 19, 2023 Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1770956476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 N CLIFF DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144309",
            "telephone_number": "708-228-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 N CLIFF DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144309",
            "telephone_number": "708-228-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSNYS",
        "first_name": "JUDITA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.