Individual provider Active NPI

Ambar Josefina Cantu, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1144829714
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019821 Issued in IL
Practice address
10536 S Ewing Ave
Chicago, IL 60617-6219
Phone
(773) 768-5000
NPI assigned
Oct 23, 2020
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 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 209.019821 IL Primary

Addresses

Primary practice location

10536 S Ewing Ave
Chicago, IL 60617-6219

Mailing address

10536 S Ewing Ave
Chicago, IL 60617-6219
Phone (773) 768-5000

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
I20201229000807 IL Practitioner - Nurse Practitioner 7517370166 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
Chicago Family Health Center IncGroup PAC ID 6608765417, 27 clinicians

Practice addresses (Care Compare)

10536 S Ewing Ave
Chicago, IL 60617-6219
Phone (773) 768-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019821ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairoaks Medical LLC CurrentSince Oct 20, 2020 Accepting new patients
Chicago Family Health Center Inc CurrentSince Dec 14, 2025 Accepting new patients
Housecalls Done Wright LTD CurrentSince Aug 1, 2024 Accepting new patients
Chicago Family Health Center, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Hoscon, LTD PastSince Jul 7, 2024 Accepting new patients

Locations

10536 S Ewing Ave
Chicago, IL 60617
Phone (773) 978-6392

4021 W 63rd St
Ste C
Chicago, IL 60629
Phone (312) 504-3277

9119 S Exchange Ave
Chicago, IL 60617

1252 Ogden Ave
Downers Grove, IL 60515
Phone (630) 963-6912

1252 Ogden Ave
Ste A
Downers Grove, IL 60515
Phone (630) 474-6082

Interoperability endpoints

  • Direct secure messaging: ambar.cantu.1@18277.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1144829714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10536 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176219",
            "telephone_number": "773-768-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10536 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176219",
            "telephone_number": "773-768-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "AMBAR",
        "middle_name": "JOSEFINA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.