Active NPI
Joanne Rafael Cruz
- Family Nurse Practitioner
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209022906
- Practice address
- 9735 Skokie Blvd
Skokie, IL 60077-1383 - Phone
- (847) 380-8969
- Fax
- (847) 972-1117
- NPI assigned
- May 18, 2021
- Last updated
- May 18, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209022906 | IL | Primary |
Addresses
Primary practice location
9735 Skokie Blvd
Skokie, IL 60077-1383
Mailing address
9735 Skokie Blvd
Skokie, IL 60077-1383
Phone (847) 380-8969
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
490 W 16TH PL
Chicago Heights, IL 60411-3224
Phone (877) 883-9430
999 Oakmont Plaza Dr
Suite 600
Westmont, IL 60559-1374
Phone (877) 630-7277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209022906 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Illinois PLLC | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Comprehensive Renal Care PLLC | Current | Accepting new patients | |
| Community Health Providers PLLC | Past | Accepting new patients | |
| Illinois Urgent Care Professionals PLLC | Past | Accepting new patients | |
| Azova Care Group (FL), PLLC | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
1101 E State St
Geneva, IL 60134
Phone (630) 232-7544
9735 Skokie Blvd
Skokie, IL 60077
Phone (847) 380-8969
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
2901 Wolf Rd
Westchester, IL 60154
Phone (630) 544-0083
999 Oakmont Plaza Dr
Ste 600
Westmont, IL 60559
Phone (224) 202-3009
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
393 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 259-4111
Organizations & group practices 8
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.
-
- Nephrology Physician
- Westmont, IL
- NPI 1871310607
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
-
dba Midwest Express Clinic
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
-
- Family Medicine Physician
- Homewood, IL
- NPI 1184546467
-
dba Local MD Urgent Care
- Family Medicine Physician
- Homewood, IL
- NPI 1215407812
-
- Family Medicine Physician
- Alpine, UT
- NPI 1285357921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1154995728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771383",
"telephone_number": "847-380-8969",
"fax_number": "847-972-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771383",
"telephone_number": "847-380-8969",
"fax_number": "847-972-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JOANNE",
"middle_name": "RAFAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209022906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.