Individual provider Active NPI

Juan Armando Chavez Duarte, APRN, CNP

  • Nurse Practitioner
  • McHenry, IL
National Provider Identifier
1215642368
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209025821 Issued in IL
Practice address
2507 N Richmond Rd
McHenry, IL 60051-5407
Phone
(815) 344-2300
Fax
(815) 344-8957
NPI assigned
Jan 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 209025821 IL
Nurse Practitioner 363L00000X 209025821 IL Primary

Addresses

Primary practice location

2507 N Richmond Rd
McHenry, IL 60051-5407

Mailing address

2507 N Richmond Rd
McHenry, IL 60051-5407
Phone (815) 344-2300

Other practice location 1

431 W Liberty St
Wauconda, IL 60084-2452
Phone (847) 526-2151

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
I20240223003348 IL Practitioner - Nurse Practitioner 4486099926 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Specialists of Mount Prospect S CGroup PAC ID 8224166566, 16 clinicians
Family Medicine Specialists S.C.Group PAC ID 0042206252, 24 clinicians

Practice addresses (Care Compare)

2680 N Il Route 83
Round Lake Beach, IL 60073-4983
Phone (224) 372-7780

3801 Running Brook Farm Blvd
Johnsburg, IL 60051-5425
Phone (815) 344-7741

431 W Liberty St
Wauconda, IL 60084-2452
Phone (847) 526-2151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists of Round Lake Incorporated S C CurrentSince Jan 10, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 8, 2024 Accepting new patients
Family Medicine Specialists of Mount Prospect S C CurrentSince Jan 10, 2024 Accepting new patients
Family Medicine Specialists, S.C. CurrentSince Jan 10, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 8, 2024 Accepting new patients

Locations

425 Lake St
Antioch, IL 60002
Phone (244) 538-9736

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

2507 N Richmond Rd
McHenry, IL 60051
Phone (815) 363-2350

3801 Running Brook Farm Blvd
McHenry, IL 60051
Phone (815) 344-7741

2253 N Richmond Rd
McHenry, IL 60051
Phone (847) 526-2151

2507 N Richmond Rd
Ste A
McHenry, IL 60051
Phone (815) 344-2300

9700 N Main St
Richmond, IL 60071
Phone (815) 678-4181

2680 State Route 83
Round Lake Beach, IL 60073
Phone (224) 372-7780

604 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151

431 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

909 Belvidere Rd
Waukegan, IL 60085
Phone (847) 244-4995

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

4000 Il Route 173
Zion, IL 60099
Phone (847) 731-8172

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1215642368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 N RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600515407",
            "telephone_number": "815-344-2300",
            "fax_number": "815-344-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 N RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600515407",
            "telephone_number": "815-344-2300",
            "fax_number": "815-344-8957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Wauconda",
            "state": "IL",
            "postal_code": "600842452",
            "country_code": "US",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ DUARTE",
        "first_name": "JUAN",
        "middle_name": "ARMANDO",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025821",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.