NPIMap

Individual provider Active NPI

Gladis Soriano, FNP-C

  • Primary Care Nurse Practitioner
  • Highwood, IL
National Provider Identifier
1164091617
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209025709 Issued in IL
Practice address
130 Washington Ave
Highwood, IL 60040-1122
Phone
(847) 909-2004
NPI assigned
Jun 20, 2021
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041386186 IL
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 209025709 IL Primary

Addresses

Primary practice location

130 Washington Ave
Highwood, IL 60040-1122

Mailing address

130 Washington Ave
Highwood, IL 60040-1122
Phone (847) 909-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230704000433 IL Practitioner - Nurse Practitioner 6002275450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041386186ILMDRegistered Nurse
209025709ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc Single Specialty CurrentSince Mar 14, 2024 Accepting new patients
Cook County Single Specialty Current Accepting new patients
Sidney Hillman Health Centre of the Chicago and Cent St JNT BRD Union Single Specialty CurrentSince Dec 12, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 14, 2024 Accepting new patients
Cook County Single Specialty CurrentSince Mar 7, 2024 Accepting new patients
Cook County CurrentSince Mar 7, 2024 Accepting new patients

Locations

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

333 S Ashland Ave
Chicago, IL 60607
Phone (312) 738-6170

333 S Ashland Ave
Fl 4
Chicago, IL 60607

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1164091617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WASHINGTON AVE",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401122",
            "telephone_number": "847-909-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WASHINGTON AVE",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401122",
            "telephone_number": "847-909-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "GLADIS",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-20",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041386186",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209025709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highwood, IL

Sources for this page

Verify at the official NPI Registry.