Individual provider Active NPI

Rachel Kurrella, FNP-BC

  • Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1831882208
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.025448 Issued in IL
Practice address
1775 Dempster St
Park Ridge, IL 60068-1143
Phone
(773) 499-9089
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.025448 IL Primary

Addresses

Primary practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Mailing address

118 Regent Dr
Gilberts, IL 60136-4056
Phone (773) 499-9089

Other practice location 1

118 Regent Dr
Gilberts, IL 60136-4056
Phone (773) 499-9089

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
I20231116003525 IL Practitioner - Nurse Practitioner 0648627380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians
Chicagoland Infectious Disease PCGroup PAC ID 5193948362, 38 clinicians

Practice addresses (Care Compare)

134 N McLean Blvd
Elgin, IL 60123-5169
Phone (847) 742-8822

17901 Governors Hwy
Suite 206
Homewood, IL 60430-1146
Phone (708) 880-0559

Hospital & facility affiliations

  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.025448ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Infectious Disease PC CurrentSince Oct 4, 2023 Accepting new patients
Chestnut Health of Illinois LLC CurrentSince Oct 2, 2024 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Mar 25, 2025 Accepting new patients
Paragon Clinical Midwest, LLC Nurse Practitioner Past Accepting new patients
Osf Multi-Specialty Group PastSince Apr 1, 2024 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

134 N McLean Blvd
Elgin, IL 60123
Phone (773) 463-5383

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100

3450 Oakton St
Ste 300
Skokie, IL 60076

430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1831882208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 REGENT DR",
            "city": "GILBERTS",
            "state": "IL",
            "postal_code": "601364056",
            "telephone_number": "773-499-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "773-499-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Regent Dr",
            "address_purpose": "LOCATION",
            "city": "Gilberts",
            "state": "IL",
            "postal_code": "601364056",
            "country_code": "US",
            "telephone_number": "773-499-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURRELLA",
        "first_name": "RACHEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.025448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.