Amy Lynn Chodorowski

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209022871 Issued in IL

Practice address

333 N Michigan Ave Ste 300
Chicago, IL 60601-3902

Phone

(773) 321-2752

NPI assigned

Jan 19, 2021

Last updated

Feb 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fareha N. Malik, M.D. LLCGroup PAC ID 5193863587, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Fareha N. Malik, M.D. LLC

  • Child & Adolescent Psychiatry Physician
  • Rockford, IL
  • NPI 1528195013
  Medicare reassignment Care Compare group NPD
• Advanced Psychiatry of Elgin

  • Behavior Analyst
  • Elgin, IL
  • NPI 1588069306
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1821688417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 E LOWRY BLVD STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306083",
            "telephone_number": "303-731-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013902",
            "telephone_number": "773-321-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODOROWSKI",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209022871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209.022871",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Pere Choate, M.S.
• James Peter Choca, PH.D.
• Julie Chodacki, PSYD
• Jason Dominick Chodakowski, M.D.
• Tenzin Choden, M.D.
• Jack Chodzen, PT
• Cassidy Choe-Murray, PSYD
• Janet Choe-Steagall, LCSW
• Claudia S Choe, DNP, RN
• Minkyu Choe

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.

Verify at the official NPI Registry.