Active NPI
Rosa Delcarmen Ardon, RN
- Registered Nurse
- Waukegan, IL
National Provider Identifier
1114199478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Practice address
- 515 Keller Ave
Waukegan, IL 60085-5008 - Phone
- (847) 377-8700
- Fax
- (847) 662-9169
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | IL | Primary |
Addresses
Primary practice location
515 Keller Ave
Waukegan, IL 60085-5008
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-334848 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1114199478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 GRAND AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852321",
"telephone_number": "847-377-8000",
"fax_number": "847-360-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 KELLER AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600855008",
"telephone_number": "847-377-8700",
"fax_number": "847-662-9169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARDON",
"first_name": "ROSA",
"middle_name": "DELCARMEN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.