Active NPI
Bose G Rasheed
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
National Provider Identifier
1891565198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209028675
- Practice address
- 7450 N Sheridan Rd
Chicago, IL 60626-1817 - Phone
- (773) 556-8577
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209028675 | IL | Primary |
Addresses
Primary practice location
7450 N Sheridan Rd
Chicago, IL 60626-1817
Mailing address
8350 Trumbull Ave
Skokie, IL 60076-2932
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209028675 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cimpar Consulting, LLC | Single Specialty | Current | Accepting new patients |
Locations
5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700
101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406
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": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1891565198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 TRUMBULL AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261817",
"telephone_number": "773-556-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASHEED",
"first_name": "BOSE",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209028675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.