Active NPI
Cynthia Serdiuk
- Acute Care Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209015871
- Practice address
- 251 E Huron St
Chicago, IL 60611-2908 - Phone
- (312) 926-2000
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209015871 | IL | Primary |
Addresses
Primary practice location
251 E Huron St
Chicago, IL 60611-2908
Mailing address
3720 Harrison Ave
Brookfield, IL 60513-1516
Phone (773) 607-9903
Other practice location 1
251 E Huron St
Chicago, IL 60611-2908
Phone (312) 926-2000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5758 S Maryland Ave
Chicago, IL 60637-1426
Phone (773) 702-3384
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
950 E 61St St
RM 207
Chicago, IL 60637-2654
Phone (773) 702-3095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| From Pain to Wellness, LLC | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| From Pain to Wellness, LLC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
Dept 5777
Carol Stream, IL 60122
251 E Huron St
Chicago, IL 60611
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
1 Transam Plaza Dr
Oakbrook Terrace, IL 60181
1 Transam Plaza Dr
Ste 100
Oakbrook Terrace, IL 60181
Phone (630) 627-7500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFGJCA
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
- Pain Medicine Physician
- Oakbrook Terrace, IL
- NPI 1477738227
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Clinical Medical Laboratory
- Oakbrook Terrace, IL
- NPI 1962979567
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba UCMC Pharmacy Services
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1801326194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 HARRISON AVE",
"city": "BROOKFIELD",
"state": "IL",
"postal_code": "605131516",
"telephone_number": "773-607-9903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-926-2000"
}
],
"practiceLocations": [
{
"address_1": "251 E Huron St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112908",
"country_code": "US",
"telephone_number": "312-926-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERDIUK",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209015871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.