Individual provider Active NPI

Paola D Cruz Ramirez, FNP-C

  • Family Nurse Practitioner
  • Dekalb, IL
National Provider Identifier
1174215784
Registry record updated Jul 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.027864 Issued in IL
Practice address
1240 Normal Rd
Dekalb, IL 60115-1497
Phone
(815) 753-1231
NPI assigned
May 23, 2023
Last updated
Jul 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.027864 IL Primary
General Practice Registered Nurse 163WG0000X 041.408589 IL

Addresses

Primary practice location

1240 Normal Rd
Dekalb, IL 60115-1497

Mailing address

1071 Waterford Rd
Bartlett, IL 60103-1931
Phone (630) 965-0658

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
I20230925002000 IL Practitioner - Nurse Practitioner 9638523616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

7425 Barrington Rd
Hanover Park, IL 60133-2241
Phone (630) 823-0392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.408589ILMDGeneral Practice Registered Nurse
209.027864ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Aug 28, 2023 Accepting new patients

Locations

2077 N Clybourn Ave
Chicago, IL 60614
Phone (773) 886-1500

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

5228 N Northwest Hwy
Chicago, IL 60630
Phone (773) 770-4707

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

7425 Barrington Rd
Hanover Park, IL 60133
Phone (630) 823-0392

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 713-2717

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (815) 654-2300

Organizations & group practices 1

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1174215784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 WATERFORD RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031931",
            "telephone_number": "630-965-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NORMAL RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151497",
            "telephone_number": "815-753-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ RAMIREZ",
        "first_name": "PAOLA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-07-16",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027864",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041.408589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.