Individual provider Active NPI

Natalia Surowaniec, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1871967869
Registry record updated Nov 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013494 Issued in IL
Practice address
3204 N Oak Park Ave
Chicago, IL 60634-4640
Phone
(773) 736-3131
NPI assigned
Nov 14, 2015
Last updated
Nov 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2015

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 209.013494 IL Primary

Addresses

Primary practice location

3204 N Oak Park Ave
Chicago, IL 60634-4640

Mailing address

906 Waterford LN
Elk Grove Village, IL 60007-7235
Phone (847) 834-5286

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
I20160601002074 IL Practitioner - Nurse Practitioner 0244520328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1921 Lake Ave
Wilmette, IL 60091-1480
Phone (877) 448-3627

2919 W Addison St
Chicago, IL 60618-4635
Phone (877) 448-3627

610 S Maple Ave
Suite 4050
Oak Park, IL 60304-1091
Phone (708) 383-0943

901 McClintock Dr
Burr Ridge, IL 60527-0872
Phone (888) 220-6432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.013494ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community First Healthcare of Illinois, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jun 1, 2016 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jun 1, 2016 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Aug 28, 2018 Accepting new patients

Locations

530 N Hough St
Ste 180B
Barrington, IL 60010

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

120 S Halsted St
Ste B
Chicago, IL 60661

3204 N Oak Park Ave
Chicago, IL 60634
Phone (773) 736-3131

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

5645 W Addison St
Ste 301
Chicago, IL 60634
Phone (773) 736-4553

1435 N Randall Rd
Ste 404
Elgin, IL 60123
Phone (847) 741-5091

2506 Waukegan Rd
Ste B2
Glenview, IL 60025

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

Organizations & group practices 4

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": "1447459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447459200000",
    "number": "1871967869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WATERFORD LN",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077235",
            "telephone_number": "847-834-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344640",
            "telephone_number": "773-736-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUROWANIEC",
        "first_name": "NATALIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-14",
        "last_updated": "2015-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.