Individual provider Active NPI

Chinmaya Modi

  • Family Nurse Practitioner
  • Oak Brook, IL
National Provider Identifier
1902640287
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029609 Issued in IL
Practice address
600 W 22ND St
Oak Brook, IL 60523-1947
Phone
(800) 238-9307
NPI assigned
Jun 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 209029609 IL Primary

Addresses

Primary practice location

600 W 22ND St
Oak Brook, IL 60523-1947

Mailing address

1089 Groton CT
Schaumburg, IL 60193-3744
Phone (847) 660-9521

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
I20250506000803 IL Practitioner - Nurse Practitioner 5395262190 Reassigns benefits to 3 organizations

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
Nova Medico SCGroup PAC ID 9133219827, 11 clinicians

Practice addresses (Care Compare)

1480 Renaissance Dr
Suite 211
Park Ridge, IL 60068-1353
Phone (847) 296-6161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209029609ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Wound Care Institute-Illinois CurrentSince Aug 1, 2025 Accepting new patients
Nova Medico S.C. CurrentSince Aug 1, 2025 Accepting new patients
Karas PC CurrentSince Mar 2, 2025 Accepting new patients
Karas PC CurrentSince Mar 2, 2025 Accepting new patients

Locations

1725 E 95th St
Chicago, IL 60617
Phone (800) 238-9307

2020 Calamos Ct
Ste 250
Naperville, IL 60563

2215 Sanders Rd
Ste 110N
Northbrook, IL 60062
Phone (248) 533-5743

600 W 22nd St
Oak Brook, IL 60523
Phone (630) 230-6505

600 W 22nd St
Ste 102
Oak Brook, IL 60523
Phone (708) 726-6588

60 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (214) 289-8282

1480 Renaissance Dr
Ste 211
Park Ridge, IL 60068
Phone (847) 296-6161

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1902640287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 GROTON CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933744",
            "telephone_number": "847-660-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231947",
            "telephone_number": "800-238-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "CHINMAYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.