Individual provider Active NPI

Virginia M Butsic, APNP

  • Nurse Practitioner
  • Vernon Hills, IL
National Provider Identifier
1881420966
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209029778 Issued in IL
Practice address
925 N Milwaukee Ave Unit 200
Vernon Hills, IL 60061-1637
Phone
(888) 938-3838
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041392940 IL
Nurse Practitioner 363L00000X 209029778 IL Primary

Addresses

Primary practice location

925 N Milwaukee Ave Unit 200
Vernon Hills, IL 60061-1637

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other names 1

  • Virginia Mary Krawzak Former name

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
I20241216003216 IL Practitioner - Nurse Practitioner 8527594407 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
Advanced Ear Nose and Throat Specialists PLLCGroup PAC ID 0143657197, 19 clinicians

Practice addresses (Care Compare)

925 N Milwaukee Ave
Unit 200
Vernon Hills, IL 60061-1637
Phone (888) 938-3838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041392940ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ear Nose & Throat Specialists, PLLC CurrentSince Nov 12, 2024 Accepting new patients

Locations

111 W Jackson Blvd
Lbby 106
Chicago, IL 60604

1150 Essington Rd
Ste 101
Joliet, IL 60435
Phone (815) 823-8460

1739 Freedom Dr
Ste 101
Naperville, IL 60563
Phone (630) 799-0122

984 Willow Rd
Ste H
Northbrook, IL 60062

1125 South Blvd
Oak Park, IL 60302

2060 E Algonquin Rd
Ste 720
Schaumburg, IL 60173
Phone (847) 496-4693

17859 80th Ave
Tinley Park, IL 60477
Phone (708) 709-9600

925 N Milwaukee Ave
Unit 200
Vernon Hills, IL 60061

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1881420966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N MILWAUKEE AVE UNIT 200",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611637",
            "telephone_number": "888-938-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTSIC",
        "first_name": "VIRGINIA",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041392940",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209029778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "KRAWZAK",
            "middle_name": "MARY",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.