Individual provider Active NPI

Deana Zamora

  • Family Nurse Practitioner
  • Midlothian, IL
National Provider Identifier
1215398680
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.033062 Issued in IL
Practice address
15101 Springfield Ave
Midlothian, IL 60445-3750
Phone
(708) 527-5470
NPI assigned
Mar 14, 2016
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 209.033062 IL Primary

Addresses

Primary practice location

15101 Springfield Ave
Midlothian, IL 60445-3750

Mailing address

15101 Springfield Ave
Midlothian, IL 60445-3750
Phone (708) 527-5470

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
I20251015002082 IL Practitioner - Nurse Practitioner 7810484615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

7733 W Grand Ave
Elmwood Park, IL 60707-1820
Phone (877) 883-9430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.033062ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Illinois PLLC CurrentSince Oct 2, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Oct 2, 2025 Accepting new patients
Lutheran Social Services of Illinois Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

7733 W Grand Ave
Elmwood Park, IL 60707
Phone (708) 452-9200

1101 E State St
Geneva, IL 60134
Phone (630) 232-7544

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

Organizations & group practices 3

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1215398680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 SPRINGFIELD AVE",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453750",
            "telephone_number": "708-527-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 SPRINGFIELD AVE",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453750",
            "telephone_number": "708-527-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "DEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.033062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, IL

Sources for this page

Verify at the official NPI Registry.