Sejal N Jhaveri, MSN, RN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Kildeer, IL
NPI 1912373655 · NPPES record last updated Aug 27, 2015
Key facts
- NPI
- 1912373655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.013103 (IL)
- Practice address
- 22455 N Hopewell CT
Kildeer, IL 60047-7925 - Phone
- (847) 767-6006
- NPI assigned
- Aug 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151026000006 | IL | Practitioner - Nurse Practitioner | 5496064818 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.013103 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pitroda Medical LLC | Current |
Accepting new patients | |
| Affinity Health Corp. | Past |
Accepting new patients |
Locations
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
19 E Schaumburg Rd
Fl 2
Schaumburg, IL 60194
Phone (224) 353-6361
19 E Schaumburg Rd
Ste 200
Schaumburg, IL 60194
Phone (224) 353-6361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.013103 | IL | Yes |
Addresses
Primary practice location
22455 N Hopewell CT
Kildeer, IL 60047-7925
Mailing address
22455 N Hopewell CT
Kildeer, IL 60047-7925
Phone (847) 767-6006
Other providers in Kildeer, IL
- Thomas Lee Edmons
- Nicholas C. Frisch
- Guy William Garozzo
- Georgina Govostis
- Cristiane Megumi Hayato Unseth
- Luiza Johnson
- Simran Jit Kamboj
- Alexa Karbin
- Claudine M. Kasinak
- Anna Kawa
All providers in Kildeer, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.