Individual provider Active NPI

Janet De Paz Zeferino, FNP

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1124884515
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209028674 Issued in IL
Practice address
2490 Bushwood Dr
Elgin, IL 60124-7898
Phone
(224) 293-5200
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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 209028674 IL Primary

Addresses

Primary practice location

2490 Bushwood Dr
Elgin, IL 60124-7898

Mailing address

2490 Bushwood Dr
Elgin, IL 60124-7898

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
I20240513002766 IL Practitioner - Nurse Practitioner 9638510357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

2490 Bushwood Dr
Elgin, IL 60124-7898
Phone (224) 293-5200

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

901 E Rand Rd
Mount Prospect, IL 60056-2580
Phone (708) 675-7966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince May 20, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince May 20, 2024 Accepting new patients
Illinois Gastroenterology Group, LLC PastSince Feb 1, 2024 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC PastSince Nov 9, 2025 Accepting new patients

Locations

800 W Fulton Market
Fl 12
Chicago, IL 60607

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

2490 Bushwood Dr
Elgin, IL 60124
Phone (224) 293-5200

1009 Fairway Dr
Freeport, IL 61032
Phone (815) 986-4200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1124884515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 BUSHWOOD DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 BUSHWOOD DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247898",
            "telephone_number": "224-293-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PAZ ZEFERINO",
        "first_name": "JANET",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.