Nancy M Bednarek, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209001818 Issued in IL

Practice address

6170 Joliet Rd Ste 1
Countryside, IL 60525-3983

Phone

(708) 352-0330

Fax

(708) 352-8905

NPI assigned

Aug 29, 2006

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• R & W Medical LLC

  dba Lagrange Medical Center

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1538179841
  NPD
• Avanti Medical Group of Illinois LLC

  • Clinic/Center
  • Wheaton, IL
  • NPI 1609185875
  NPD (past)
• Hartman Health Services, P.C.

  • Nurse Practitioner
  • Rockford, IL
  • NPI 1104833797
  NPD (past)
• LTC Medical Inc

  • Nurse Practitioner
  • Rockford, IL
  • NPI 1538307228
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1972611895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 JOLIET RD STE 1",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253983",
            "telephone_number": "708-352-0330",
            "fax_number": "708-352-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 JOLIET RD STE 1",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253983",
            "telephone_number": "708-352-0330",
            "fax_number": "708-352-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAREK",
        "first_name": "NANCY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209001818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vianca Avila, LCSW
• Mary L Barnish
• Ashley Barry
• Mary France Bazan, LCPC
• Oleg Bebko, PHARMD
• Barbara Belejec, MA, BCBA
• Erica Bell
• Shannon Berrisford
• Katherine A Biziorek, MS
• Jamarice Blevins

• Family Nurse Practitioner in Countryside, IL
• Providers in Countryside, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.