Individual provider Active NPI

Tatjana Solar

  • Nurse Practitioner
  • Burr Ridge, IL
National Provider Identifier
1841644507
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209014098 Issued in IL
Practice address
1333 Burr Ridge Parkway
Burr Ridge, IL 60527
Phone
(630) 832-1775
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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 209014098 IL Primary

Addresses

Primary practice location

1333 Burr Ridge Parkway
Burr Ridge, IL 60527

Mailing address

133 Burr Ridge Parkway
Burr Ridge, IL 60527
Phone (630) 832-1775

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
I20161228000246 IL Practitioner - Nurse Practitioner 7517248883 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

4815 S Western Blvd
Chicago, IL 60609-4067
Phone (630) 857-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209014098ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Oct 1, 2019 Accepting new patients
Paragon Clinical LLC Nurse Practitioner CurrentSince Dec 8, 2016 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Dec 2, 2020 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Oct 1, 2019 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Dec 2, 2020 Accepting new patients
Rehab and Health, LLC PastSince Sep 1, 2018 Accepting new patients
Paragon Clinical Midwest, LLC Nurse Practitioner Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

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

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

4815 S Western Blvd
Chicago, IL 60609
Phone (312) 380-1379

Organizations & group practices 8

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1841644507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BURR RIDGE PARKWAY",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-832-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PARKWAY",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-832-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLAR",
        "first_name": "TATJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.