Gladis Soriano, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Highwood, IL
NPI 1164091617 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1164091617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 209025709 (IL)
- Practice address
- 130 Washington Ave
Highwood, IL 60040-1122 - Phone
- (847) 909-2004
- NPI assigned
- Jun 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cook County
Practice addresses (Care Compare)
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
Hospital & facility affiliations
- John H Stroger Jr Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230704000433 | IL | Practitioner - Nurse Practitioner | 6002275450 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041386186 | IL | MD | Registered Nurse |
| 209025709 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidney Hillman Health Centre of the Chicago and Cent St JNT BRD Union | Single Specialty | Current |
Accepting new patients |
| Midwest Express Care 2, Inc | Current |
Accepting new patients | |
| Cook County | Single Specialty | Current |
Accepting new patients |
| Cook County | Current |
Accepting new patients | |
| Cook County | Single Specialty | Current | Accepting new patients |
| Midwest Express Care 2, Inc | Single Specialty | Current |
Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
333 S Ashland Ave
Chicago, IL 60607
Phone (312) 738-6170
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
333 S Ashland Ave
Fl 4
Chicago, IL 60607
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041386186 | IL | |
| Primary Care Nurse Practitioner |
363LP2300X | 209025709 | IL | Yes |
Addresses
Primary practice location
130 Washington Ave
Highwood, IL 60040-1122
Mailing address
130 Washington Ave
Highwood, IL 60040-1122
Phone (847) 909-2004
Other providers in Highwood, IL
- Tamara Salamon
- Kathleen M. Salse
- Ismael Gerald Salvador
- Domingo A. Sandoval
- Michelle Smekens
- John Statza
- Sophie Streveler
- The North Shore IV Center
- Guy Venturato
- Walgreen Co
All providers in Highwood, IL · Primary Care Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.