MRS. CHA-GA BULLOCK FNP-BC
NPI 1639858319
Nurse Practitioner - Family in Evergreen Park, IL
About Mrs. Cha-ga Bullock Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CHA-GA BULLOCK FNP-BC (NPI 1639858319) is an individual family provider in Evergreen Park, Illinois, licensed in Illinois (209027433) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Cha-ga Bullock Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf Little Company Of Mary Medical Center
Acute Care Hospitals · Evergreen Park, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cha-ga Bullock's NPI number?
The NPI number for Cha-ga Bullock is 1639858319. It was assigned to this individual provider in the NPPES registry on July 11, 2023.
Where is Cha-ga Bullock located?
Cha-ga Bullock practices at 9858 S Western Ave, Evergreen Park, IL 60805. The listed phone number is (312) 705-9750.
What is Cha-ga Bullock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cha-ga Bullock enrolled in Medicare?
Yes. Cha-ga Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Cha-ga Bullock affiliated with any hospitals?
According to CMS data, Cha-ga Bullock is affiliated with Osf Little Company Of Mary Medical Center.
When was this NPI record last updated?
The NPPES record for Cha-ga Bullock was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
