Organization Active NPI

Altar Healthcare Group, PLLC

  • Family Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1114796687
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALTAR HEALTHCARE GROUP, PLLC
Practice address
10448 S Pulaski Rd Ste 6
Oak Lawn, IL 60453-4895
Phone
(708) 932-3260
NPI assigned
Dec 26, 2023
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Marybell Ramirez, APRNNPI 1558833699
Title
Nurse Practitioner
Phone
(708) 932-3260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Dermatology Physician 207N00000X NU
Family Medicine Physician 207Q00000X NU Primary
Ophthalmology Physician 207W00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Podiatrist 213E00000X NU

Addresses

Primary practice location

10448 S Pulaski Rd Ste 6
Oak Lawn, IL 60453-4895

Mailing address

10448 S Pulaski Rd Ste 6
Oak Lawn, IL 60453-4895
Phone (708) 932-3260

Other practice location 1

2501 Chatham Rd Ste N
Springfield, IL 62704
Phone (773) 704-0626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240117003193 IL Part B Supplier - Clinic/Group Practice 9032561857 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Lawn, IL; Springfield, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2343316Altar Healthcare Group, PLLC10448 S Pulaski Rd, Ste 6, Oak Lawn, IL 60453Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory

Locations

10448 S Pulaski Rd
Ste 6
Oak Lawn, IL 60453
Phone (708) 932-3260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1114796687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 S PULASKI RD STE 6",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534895",
            "telephone_number": "708-932-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 S PULASKI RD STE 6",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534895",
            "telephone_number": "708-932-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 CHATHAM RD STE N",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "country_code": "US",
            "telephone_number": "773-704-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTAR HEALTHCARE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARYBELL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "708-932-3260",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.