Active NPI
Jillian Radecki, APRN
- Family Nurse Practitioner
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.026461
- Practice address
- 9555 S 52ND Ave
Oak Lawn, IL 60453-3054 - Phone
- (708) 634-0950
- Fax
- (708) 634-0942
- NPI assigned
- Nov 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041452248 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.026461 | IL | Primary |
Addresses
Primary practice location
9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
9537 S 52nd Ave
Oak Lawn, IL 60453-6045
Phone (708) 945-4257
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Epic | Health Information Exchange (HIE) | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jradecki269815@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10201 S Cicero Ave
Suite a
Oak Lawn, IL 60453-4672
Phone (708) 658-2770
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
701 E Franklin St
Suite 1051740
Richmond, VA 23219-2512
Phone (224) 607-7254
731 Hillside Ave
Glen Ellyn, IL 60137-4616
Phone (847) 570-2760
9550 W 167TH St
Orland Park, IL 60467-5561
9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Phone (708) 634-0950
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041452248 | IL | MD | Registered Nurse |
| 209.026461 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health & Hospitals Corporation | Single Specialty | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Single Specialty | Current | Accepting new patients |
| Gatewaymd Live PLLC | Single Specialty | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
9555 S 52nd Ave
Oak Lawn, IL 60453
Phone (708) 422-5700
701 E Franklin St
Ste 1051740
Richmond, VA 23219
Phone (224) 607-7254
Interoperability endpoints
- jradecki269815@direct.myadvocateaurora.org
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
Single Specialty
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
Single Specialty
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1952018368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900",
"fax_number": "847-390-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 S 52ND AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533054",
"telephone_number": "708-634-0950",
"fax_number": "708-634-0942"
}
],
"practiceLocations": [
{
"address_1": "9537 S 52nd Ave",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604536045",
"country_code": "US",
"telephone_number": "708-945-4257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADECKI",
"first_name": "JILLIAN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "IL",
"license": "041452248",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.026461",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Epic",
"affiliation": "N",
"endpointDescription": "Sending and receiving information pertaining to patient care",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient care/treatment plans",
"address_1": "9537 S 52nd Ave",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604536045",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "9555 S 52nd Ave",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604533054",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jradecki269815@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9555 S 52nd Ave",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604533054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.