Healthcare Provider Details

I. General information

NPI: 1386266237
Provider Name (Legal Business Name): NATALIA JOANNA RYSMANOWSKA PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5730 W ROOSEVELT RD
CHICAGO IL
60644-1580
US

IV. Provider business mailing address

24328 W WHITE OAK DR
PLAINFIELD IL
60585-5494
US

V. Phone/Fax

Practice location:
  • Phone: 630-605-5358
  • Fax:
Mailing address:
  • Phone: 630-437-0869
  • Fax: 731-201-5463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277003925
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number041432785
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: