Individual provider Active NPI

Lawrencia Abudjah, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1972368066
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.029275 Issued in IL
Practice address
1538 W Jackson Blvd Ste 200
Chicago, IL 60607-5304
Phone
(312) 610-1000
NPI assigned
Feb 16, 2024
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 209.029275 IL Primary

Addresses

Primary practice location

1538 W Jackson Blvd Ste 200
Chicago, IL 60607-5304

Mailing address

1538 W Jackson Blvd Ste 200
Chicago, IL 60607-5304

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
I20240819003167 IL Practitioner - Nurse Practitioner 8921546185 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.029275ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Sep 18, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 18, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Chicagoland Infectious Disease PC CurrentSince Jun 7, 2024 Accepting new patients
University of Chicago CurrentSince Sep 18, 2025 Accepting new patients
Impact Physician Group, Washington LLC Past Accepting new patients
Ponos Care Illinois, PLLC Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100

17901 Governors Hwy
Ste 209
Homewood, IL 60430
Phone (708) 942-1276

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: labudjah179181@uchospital.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1972368066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 W JACKSON BLVD STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 W JACKSON BLVD STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075304",
            "telephone_number": "312-610-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUDJAH",
        "first_name": "LAWRENCIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.029275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.