Individual provider Active NPI

Narwilito Barrales Abistado, FNP-C

  • Family Nurse Practitioner
  • Cicero, IL
National Provider Identifier
1780425579
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029362 Issued in IL
Practice address
5103 W Cermak Rd
Cicero, IL 60804-2902
Phone
(708) 780-7400
Fax
(708) 780-7423
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 209029362 IL Primary

Addresses

Primary practice location

5103 W Cermak Rd
Cicero, IL 60804-2902

Mailing address

9234 Harlowe LN
Orland Park, IL 60462-1057
Phone (708) 501-0052

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
I20241111002030 IL Practitioner - Nurse Practitioner 0941734123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Care Wound Solutions CoGroup PAC ID 8022523463, 7 clinicians
Wound Care at Home LLCGroup PAC ID 9133620982, 2 clinicians

Practice addresses (Care Compare)

1701 E Woodfield Rd
Suite 810
Schaumburg, IL 60173-5211
Phone (844) 484-9910

9933 Lawler Ave
Suite 442
Skokie, IL 60077-3703
Phone (708) 501-0052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care at Home LLC Family CurrentSince May 23, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Oct 9, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Oct 9, 2024 Accepting new patients
Vital Care Wound Solutions Co CurrentSince Jun 7, 2025 Accepting new patients

Locations

1701 E Woodfield Rd
Ste 745
Schaumburg, IL 60173

1701 E Woodfield Rd
Ste 810
Schaumburg, IL 60173
Phone (773) 341-6516

9933 Lawler Ave
Ste 442
Skokie, IL 60077
Phone (312) 929-7785

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1780425579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9234 HARLOWE LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621057",
            "telephone_number": "708-501-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042902",
            "telephone_number": "708-780-7400",
            "fax_number": "708-780-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABISTADO",
        "first_name": "NARWILITO",
        "middle_name": "BARRALES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

Verify at the official NPI Registry.