Individual provider Active NPI

Katarzyna Para, FNP-C

  • Family Nurse Practitioner
  • Calumet Park, IL
National Provider Identifier
1851969976
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023247 Issued in IL
Practice address
12850 S Ashland Ave
Calumet Park, IL 60827-6308
Phone
(708) 972-7958
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023247 IL Primary

Addresses

Primary practice location

12850 S Ashland Ave
Calumet Park, IL 60827-6308

Mailing address

12850 S Ashland Ave
Calumet Park, IL 60827-6308
Phone (708) 972-7958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622003484 IL Practitioner - Nurse Practitioner 3870994353 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209023247ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Jun 1, 2021 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Feb 9, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 1, 2021 Accepting new patients

Locations

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

12850 S Ashland Ave
Calumet Park, IL 60827
Phone (708) 631-2781

6140 N Broadway St
Chicago, IL 60660
Phone (224) 795-3521

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

121 W North Ave
Chicago, IL 60610
Phone (312) 643-5606

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

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

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1851969976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 S ASHLAND AVE",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276308",
            "telephone_number": "708-972-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 S ASHLAND AVE",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276308",
            "telephone_number": "708-972-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARA",
        "first_name": "KATARZYNA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet Park, IL

Sources for this page

Verify at the official NPI Registry.