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STILLWATER HEALTH PLLC
NPI 1891642179
Family Medicine - Addiction Medicine in Chicago, IL

Active since March 14, 2026
3256 W POTOMAC AVE, CHICAGO, IL 60651(708) 280-6164 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 12, 2026, Mar 14, 2026 (2 updates tracked since 2026).

About Stillwater Health Pllc NPPES

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

STILLWATER HEALTH PLLC (NPI 1891642179) is a healthcare organization registered as an addiction medicine in Chicago, Illinois and active in the NPI registry since March 2026. The organization lists Carolle Derradji, Owner, as its authorized official.

NPPES Registry Identity

NPI1891642179
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameSTILLWATER HEALTH PLLC
Location Address3256 W POTOMAC AVEChicago, IL 60651-2411
Mailing Address3256 W Potomac AveChicago, IL 60651-2411 · (708) 280-6164
Phone(708) 280-6164
Organization SubpartNo
Authorized OfficialCarolle DerradjiOwner · (708) 280-6164
Enumeration DateMarch 14, 2026
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1891642179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
3256 W POTOMAC AVE, Chicago, IL 60651
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CAROLLE M DERRADJI
Nurse Practitioner (Family)
3256 W POTOMAC AVE
CHICAGO, IL 60651
Cook County (708) 280-6164

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 Stillwater Health PLLC's NPI number?

The NPI number for Stillwater Health PLLC is 1891642179. It was assigned to this organization in the NPPES registry on March 14, 2026.

Where is Stillwater Health PLLC located?

Stillwater Health PLLC is located at 3256 W Potomac Ave, Chicago, IL 60651. The listed phone number is (708) 280-6164.

What is Stillwater Health PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Stillwater Health PLLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.