Individual provider Active NPI

Jonathan Maravelias, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Westmont, IL
National Provider Identifier
1962363101
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.034002 Issued in IL
Practice address
1 E Oakhill Dr Ste 100
Westmont, IL 60559-5540
Phone
(773) 694-1170
NPI assigned
Nov 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.034002 IL Primary

Addresses

Primary practice location

1 E Oakhill Dr Ste 100
Westmont, IL 60559-5540

Mailing address

1 E Oakhill Dr Ste 100
Westmont, IL 60559-5540
Phone (773) 694-1170

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
I20260120002679 IL Practitioner - Nurse Practitioner 9638656895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 E Oakhill Dr
Suite 100
Westmont, IL 60559-5540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.034002ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lipov Medical SC Psychiatric/Mental Health CurrentSince Dec 14, 2025 Accepting new patients

Locations

1 E Oakhill Dr
Ste 100
Westmont, IL 60559
Phone (630) 654-2515

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": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1962363101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E OAKHILL DR STE 100",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595540",
            "telephone_number": "773-694-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E OAKHILL DR STE 100",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595540",
            "telephone_number": "773-694-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAVELIAS",
        "first_name": "JONATHAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.034002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.