PARVINDER KAUR RANDHAWA FNP-BC
NPI 1639969850
Nurse Practitioner - Family in Evergreen Park, IL

Active since May 09, 2025PECOS Enrolled
9730 S WESTERN AVE STE 700, EVERGREEN PARK, IL 60805(708) 425-1907 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Parvinder Kaur Randhawa Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARVINDER KAUR RANDHAWA FNP-BC (NPI 1639969850) is an individual family provider in Evergreen Park, Illinois, licensed in Illinois (209032333) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mokena, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639969850
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePARVINDER KAUR RANDHAWACredential: FNP-BC
Location Address9730 S WESTERN AVE STE 700Evergreen Park, IL 60805-2814
Mailing Address10260 191st St Ste 100Mokena, IL 60448-8802 · (708) 425-1907
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 9, 2025
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
NPI 1639969850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209032333
9730 S WESTERN AVE STE 700, Evergreen Park, IL 60805

Secondary Practice Location 1

Location 110260 191st St Ste 100Mokena, IL 60448-8802 · Phone (708) 425-1907

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Parvinder Kaur Randhawa Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527565548
PECOS Enrollment IDI20251007002694
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician 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.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9730 S WESTERN AVE STE 700
EVERGREEN PARK, IL 60805
Obstetrics & Gynecology
9730 S WESTERN AVE STE 700
EVERGREEN PARK, IL 60805
Nurse Practitioner (Family)
9730 S WESTERN AVE STE 700
EVERGREEN PARK, IL 60805
Obstetrics & Gynecology
9730 S WESTERN AVE STE 700
EVERGREEN PARK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639969850, enumerated as an "individual" on May 09, 2025.

The provider is located at 9730 S WESTERN AVE STE 700 EVERGREEN PARK, IL 60805 and the phone number is (708) 425-1907.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.