Individual provider Active NPI

Joanne Rafael Cruz

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1154995728
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022906 Issued in IL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608003082 IL Practitioner - Nurse Practitioner 0244630572 Reassigns benefits to 4 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Comprehensive Renal Care PLLCGroup PAC ID 1456883495, 7 clinicians

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

LicenseStateTypeSpecialty
209022906ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Illinois PLLC CurrentSince Jan 6, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 17, 2021 Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 17, 2021 Accepting new patients
Post Acute Medical PLLC CurrentSince Nov 26, 2023 Accepting new patients
Comprehensive Renal Care PLLC CurrentSince Jun 1, 2025 Accepting new patients
Community Health Providers PLLC Past Accepting new patients
Illinois Urgent Care Professionals PLLC PastSince Dec 5, 2018 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.

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

Verify at the official NPI Registry.