Active NPI
Navrow L.L.C.
- Specialist
- Plainfield, IL
National Provider Identifier
1780948588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036123076
- Legal business name
- NAVROW L.L.C.
- Practice address
- 24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507 - Phone
- (815) 676-6716
- Fax
- (815) 676-0454
- NPI assigned
- Jun 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica Lynn Kappelman, M.D., M.P.H.
- Title
- Physician/Owner
- Phone
- (815) 676-6716
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036123076 | IL | Primary |
Addresses
Primary practice location
24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507
Mailing address
24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507
Phone (815) 676-6716
Other names 1
- Kappelman Dermatology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121002000559 | IL | Part B Supplier - Clinic/Group Practice | 8921257254 |
Receives reassigned benefits from 3 practitioners Practice locations: Plainfield, IL |
National Provider Directory
National Provider DirectoryLocations
24600 W 127th St
Ste 335
Plainfield, IL 60585
Phone (815) 676-6716
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372377600000",
"number": "1780948588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24600 W 127TH ST",
"address_2": "BUILDING B SUITE 335",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-676-6716",
"fax_number": "815-676-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24600 W 127TH ST",
"address_2": "BUILDING B SUITE 335",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-676-6716",
"fax_number": "815-676-0454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVROW L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-27",
"last_updated": "2013-06-28",
"status": "A",
"authorized_official_last_name": "KAPPELMAN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "815-676-6716",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., M.P.H."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "036123076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kappelman Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.