Individual provider Active NPI

Bianca Chatman

  • Family Nurse Practitioner
  • Richton Park, IL
National Provider Identifier
1831653690
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.001938 Issued in IL
Practice address
4801 Sauk TRL Unit B
Richton Park, IL 60471-1017
Phone
(708) 773-1643
NPI assigned
Jan 25, 2019
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28204939A IN
Family Nurse Practitioner 363LF0000X 277.001938 IL Primary
Registered Nurse 163W00000X 28204939A IN

Addresses

Primary practice location

4801 Sauk TRL Unit B
Richton Park, IL 60471-1017

Mailing address

6413 Bridle Path Dr
Matteson, IL 60443-3344
Phone (708) 937-2263

Other practice location 1

15255 S 94th Ave Ste 500
Orland Park, IL 60462-3895
Phone (708) 937-2263

Other practice location 2

1401 Western Ave
Chicago Heights, IL 60411-3147
Phone (708) 292-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190320001500 IN Practitioner - Nurse Practitioner 3274873781 Reassigns benefits to 5 organizations
I20210227000070 IL Practitioner - Nurse Practitioner 3274873781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28204939AINMDRegistered Nurse
277.001938ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Jan 1, 2022 Accepting new patients
Edgewater Systems for Balanced Living, Inc CurrentSince Jun 15, 2019 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Apr 1, 2023 Accepting new patients
Edgewater Systems for Balanced Living, Inc. Current Accepting new patients
B-Well Health LLC Family CurrentSince Sep 24, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Apr 1, 2023 Accepting new patients
Edgewater Systems for Balanced Living, Inc. CurrentSince Jun 15, 2019 Accepting new patients
Chakra Wellness and Palliative Care PC CurrentSince May 1, 2021 Accepting new patients

Locations

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

2421 183rd St
Homewood, IL 60430
Phone (708) 305-9404

15255 S 94th Ave
Ste 500
Orland Park, IL 60462
Phone (708) 403-4055

4801 Sauk Trl
Unit B
Richton Park, IL 60471
Phone (708) 773-1643

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

1100 W 6th Ave
Gary, IN 46402
Phone (219) 881-2466

5490 Broadway
Merrillville, IN 46410
Phone (219) 472-1711

5490 Broadway
Ste 106
Merrillville, IN 46410
Phone (219) 775-9500

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1831653690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 BRIDLE PATH DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433344",
            "telephone_number": "708-937-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SAUK TRL UNIT B",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711017",
            "telephone_number": "708-773-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15255 S 94th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623895",
            "country_code": "US",
            "telephone_number": "708-937-2263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604113147",
            "country_code": "US",
            "telephone_number": "708-292-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "BIANCA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28204939A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.001938",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28204939A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richton Park, IL

Sources for this page

Verify at the official NPI Registry.