Individual provider Active NPI

Fabiola Adriana Nava-Lopez, APN

  • Family Nurse Practitioner
  • Melrose Park, IL
National Provider Identifier
1053962340
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020140 Issued in IL
Practice address
701 W North Ave
Melrose Park, IL 60160-1699
Phone
(708) 681-3200
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020140 IL Primary

Addresses

Primary practice location

701 W North Ave
Melrose Park, IL 60160-1699

Mailing address

21W112 Briarcliff Rd
Lombard, IL 60148-5209
Phone (708) 833-0500

Other names 1

  • Mrs. Fabiola Adriana Nava Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191224000614 IL Practitioner - Nurse Practitioner 3274967369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians

Practice addresses (Care Compare)

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (248) 671-3747

Hospital & facility affiliations

  • Insight Hospital and Medical Center Chicago Hospital, Chicago, IL, CCN 140158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209020140ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Chicago, Inc. CurrentSince Jun 1, 2021 Accepting new patients
St Anthony Emergency Services Physician Group CurrentSince Mar 27, 2024 Accepting new patients
Mea Chicago PC CurrentSince Apr 14, 2021 Accepting new patients
Insight Chicago, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Iems Physician Services PLLC CurrentSince Jul 10, 2025 Accepting new patients

Locations

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1053962340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21W112 BRIARCLIFF RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485209",
            "telephone_number": "708-833-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W NORTH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601699",
            "telephone_number": "708-681-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA-LOPEZ",
        "first_name": "FABIOLA",
        "middle_name": "ADRIANA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FABIOLA",
            "last_name": "NAVA",
            "middle_name": "ADRIANA",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.