Individual provider Active NPI

Giovanni Guagliardo

  • Family Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1063312692
Registry record updated Nov 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.037038 Issued in IL
Practice address
123 S Northwest Hwy
Park Ridge, IL 60068-4243
Phone
(224) 585-7000
NPI assigned
Nov 7, 2026
Last updated
Nov 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2026

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 209.037038 IL Primary

Addresses

Primary practice location

123 S Northwest Hwy
Park Ridge, IL 60068-4243

Mailing address

825 N Milwaukee Ave Apt 2R
Chicago, IL 60642-7967
Phone (630) 306-8968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1794009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1794009600000",
    "number": "1063312692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N MILWAUKEE AVE APT 2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427967",
            "telephone_number": "630-306-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684243",
            "telephone_number": "224-585-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAGLIARDO",
        "first_name": "GIOVANNI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-11-07",
        "last_updated": "2026-11-07",
        "certification_date": "2026-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.037038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.