CH Specialty Services Il PLLC
Organization Active NPI Internal Medicine Physician · Chicago, IL
NPI 1922707702 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1922707702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CH SPECIALTY SERVICES IL PLLC
- Practice address
- 111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597 - Phone
- (337) 408-0797
- NPI assigned
- Mar 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Nicole Howard
- Title
- Sr VP of Administrative Services
- Phone
- (337) 408-0797
Member of 1
Practitioners 69
-
Dillard Elmore, D.O., MBA
-
Courtney J Jack, APRN-BC
-
Umer Mukhtar, MD
-
Elise Amanda Nygren, FNP
-
Holly Olson, ARNP
-
Krista Brooke Pritchard, APRN, FNP-C
-
Jessica Rae Delgado, APRN
-
Simone C Fultz, FNP
-
Danelle N Hartman, FNP-BC
-
Jennifer Anne Hohenadel, DNP, RN, APRN, FNP-C
-
Ashir Wahab, MD
-
Audrey Anne Hubler, FNP
-
Kelly L Nephew, DNP, FNP-BC, CME
-
Malinda Kemper, FNP
-
Amy Reynolds, NP-C
-
Uchenna Ogechukwu Aningo, P.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230330000234 | IL | Part B Supplier - Clinic/Group Practice | 8224402482 |
Receives reassigned benefits from 69 practitioners Practice locations: Park Forest, IL; Evanston, IL; Glen Carbon, IL; Long Grove, IL; Macomb, IL; Mascoutah, IL; Northbrook, IL; Palos Park, IL… |
National Provider Directory
Locations
4221 Maine St
Quincy, IL 62305
211 N Market St
Sparta, IL 62286
Phone (618) 391-0242
3900 Sullivan Dr
Swansea, IL 62226
Phone (618) 234-8910
6001 Menaul Blvd NE
#1086
Albuquerque, NM 87110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797
Other providers in Chicago, IL
- Madeline Cetlin
- Frank Cetta Jr.
- Ruth Ceulemans
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- CG Therapies LLC
- Jenny Hye Jin Cha-Kim
- Andrew R Cha
- Donald Cha
- Esther Cha
- Rosaline Eunbee Cha
All providers in Chicago, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.