Individual provider Active NPI

Caitlin M Chandran, APN

  • Family Nurse Practitioner
  • Grayslake, IL
National Provider Identifier
1821404336
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000509 Issued in IL
Practice address
997 N Corporate Cir Ste B
Grayslake, IL 60030-7822
Phone
(224) 777-0805
Fax
(833) 464-3975
NPI assigned
Jul 3, 2014
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209010956 IL
Family Nurse Practitioner 363LF0000X 277000509 IL Primary

Addresses

Primary practice location

997 N Corporate Cir Ste B
Grayslake, IL 60030-7822

Mailing address

997 N Corporate Cir Ste B
Grayslake, IL 60030-7822
Phone (224) 777-0805

Other names 1

  • Ms. Caitlin M Zindars Former name

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
I20141112001304 IL Practitioner - Nurse Practitioner 0042432783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

997 N Corporate Cir
Suite B
Grayslake, IL 60030-7822
Phone (224) 777-0805

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277000509ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlin Chandran MSN, Aprn-Fpa, FNP-BC PLLC CurrentSince Oct 11, 2022 Accepting new patients
Grayslake Rehabilitation and Complete Physical Therapy LLC CurrentSince Oct 11, 2022 Accepting new patients

Locations

102 Center St
Grayslake, IL 60030
Phone (303) 895-4252

997 N Corporate Cir
Ste B
Grayslake, IL 60030
Phone (847) 223-8001

Interoperability endpoints

  • Direct secure messaging: caitlin.chandran.1@27730.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1821404336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 N CORPORATE CIR STE B",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307822",
            "telephone_number": "224-777-0805",
            "fax_number": "833-464-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 N CORPORATE CIR STE B",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307822",
            "telephone_number": "224-777-0805",
            "fax_number": "833-464-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010956",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "ZINDARS",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.