Individual provider Active NPI

Juan Carlos Moreno

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1184596587
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09250895 Issued in IL
Practice address
6201 W Touhy Ave
Chicago, IL 60646-1100
Phone
(847) 673-5166
NPI assigned
Sep 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 F09250895 IL Primary

Addresses

Primary practice location

6201 W Touhy Ave
Chicago, IL 60646-1100

Mailing address

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (847) 673-5166

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
I20251205000040 IL Practitioner - Nurse Practitioner 9638662877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (847) 673-5166

9615 Knox Ave
Skokie, IL 60076-1219
Phone (847) 679-4161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F09250895ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Healthcare Partners PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

3445 N Central Ave
Unit C
Chicago, IL 60634
Phone (773) 205-0800

5240 N Pulaski Rd
Ste J
Chicago, IL 60630
Phone (773) 258-5200

3445 N Central Ave
Chicago, IL 60634
Phone (312) 715-8088

6201 W Touhy Ave
Chicago, IL 60646
Phone (847) 462-4411

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1184596587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F09250895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.