Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stillwater Health PLLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1891642179

Stillwater Health PLLC is an Addiction Medicine (Family Medicine) Physician in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3256 W Potomac Ave
Chicago, IL 60651-2411
Phone: (708) 280-6164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1891642179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolle Derradji — Owner · (708) 280-6164
NPI enumeratedMarch 14, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address3256 W Potomac Ave, Chicago, IL 60651-2411

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