Individual provider Active NPI

Swati Patel

  • Family Nurse Practitioner
  • West Chicago, IL
National Provider Identifier
1871367094
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.028722 Issued in IL
Practice address
2700 Bainbridge Blvd
West Chicago, IL 60185-6433
Phone
(630) 470-7198
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 209.028722 IL Primary

Addresses

Primary practice location

2700 Bainbridge Blvd
West Chicago, IL 60185-6433

Mailing address

2700 Bainbridge Blvd
West Chicago, IL 60185-6433
Phone (630) 470-7198

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
I20240124001247 IL Practitioner - Nurse Practitioner 6103279302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

14255 Cicero Ave
Crestwood, IL 60418-2154
Phone (708) 371-0400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.028722ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

200 Martin Ave
Naperville, IL 60540
Phone (630) 236-8018

Organizations & group practices 1

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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1871367094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BAINBRIDGE BLVD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856433",
            "telephone_number": "630-470-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BAINBRIDGE BLVD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856433",
            "telephone_number": "630-470-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SWATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

Verify at the official NPI Registry.