Individual provider Active NPI

Rachel Wangui Muthui, ANP

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1831473040
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209009114 Issued in IL
Practice address
2003 W Fulton St
3Rd Floor
Chicago, IL 60612-2345
Phone
(773) 292-4800
Fax
(312) 738-1624
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209009114 IL Primary

Addresses

Primary practice location

2003 W Fulton St
3Rd Floor
Chicago, IL 60612-2345

Mailing address

2003 W Fulton St
3Rd Floor
Chicago, IL 60612-2345
Phone (773) 292-4800

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
I20120305000423 IL Practitioner - Nurse Practitioner 9537328968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Palliative and Hospice LLCGroup PAC ID 2860638244, 3 clinicians

Practice addresses (Care Compare)

151 W Golf Rd
Libertyville, IL 60048-3213
Phone (847) 549-0588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209009114ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Accountable Care, PA CurrentSince Feb 1, 2025 Accepting new patients
Integrated Palliative and Hospice LLC CurrentSince Apr 1, 2025 Accepting new patients
Longevity Accountable Care, PA CurrentSince Feb 1, 2025 Accepting new patients

Locations

6300 N California Ave
Chicago, IL 60659
Phone (773) 338-4244

900 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 726-1200

151 W Golf Rd
Libertyville, IL 60048
Phone (847) 549-0588

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1831473040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST",
            "address_2": "3RD FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "773-292-4800",
            "fax_number": "312-738-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST",
            "address_2": "3RD FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "773-292-4800",
            "fax_number": "312-738-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUI",
        "first_name": "RACHEL",
        "middle_name": "WANGUI",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.