Individual provider Active NPI

Rovi Dolores Aquino Origenes, NP-C

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1194032326
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209008196 Issued in IL
Practice address
110 E Schiller St Ste 318
Elmhurst, IL 60126-2823
Phone
(630) 832-1775
Fax
(630) 832-3078
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209008196 IL Primary

Addresses

Primary practice location

110 E Schiller St Ste 318
Elmhurst, IL 60126-2823

Mailing address

110 E Schiller St Ste 318
Elmhurst, IL 60126-2823

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
I20110203000449 IL Practitioner - Nurse Practitioner 3476733783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

1775 Dempster St
Park Ridge, IL 60068-1143

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209008196ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Sep 1, 2016 Accepting new patients
Paragon Clinical LLC Adult Health CurrentSince Oct 4, 2010 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Sep 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

29373 Network Pl
Chicago, IL 60673

110 E Schiller St
Ste 318
Elmhurst, IL 60126

1875 Dempster St
Ste 280
Park Ridge, IL 60068
Phone (847) 318-9071

Interoperability endpoints

  • Direct secure messaging: rorigenes217787@direct.myadvocateaurora.org

Organizations & group practices 5

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1194032326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SCHILLER ST STE 318",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SCHILLER ST STE 318",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262823",
            "telephone_number": "630-832-1775",
            "fax_number": "630-832-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIGENES",
        "first_name": "ROVI DOLORES",
        "middle_name": "AQUINO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209008196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.