Active NPI
Joann Reyes, NP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209020589
- Practice address
- 3600 W Fullerton Ave
Chicago, IL 60647-2319 - Phone
- (773) 782-2800
- NPI assigned
- Dec 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209020589 | IL | Primary |
Addresses
Primary practice location
3600 W Fullerton Ave
Chicago, IL 60647-2319
Mailing address
550 Oakmont LN
Westmont, IL 60559-3700
Phone (630) 601-1280
Other practice location 1
550 Oakmont Ln
Westmont, IL 60559-3700
Phone (630) 601-1280
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joann.reyes.1@17986.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2835 N Sheffield Ave
Suite 500
Chicago, IL 60657-5084
Phone (773) 296-2400
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baal Perazim Wellness, Inc | Current | Accepting new patients | |
| Baal Perazim Wellness and Health Services PC | Current | Accepting new patients | |
| Infant Welfare Society of Chicago | Current | Accepting new patients |
Locations
3600 W Fullerton Ave
Chicago, IL 60647
Phone (773) 782-2800
1823 W 47th St
Chicago, IL 60609
Phone (312) 698-9043
2835 N Sheffield Ave
Ste 500
Chicago, IL 60657
Phone (773) 525-6955
3416 S Halsted St
Chicago, IL 60608
Phone (773) 451-9444
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1376153437
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1215403530
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1497872543
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1255970141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 OAKMONT LN",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605593700",
"telephone_number": "630-601-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472319",
"telephone_number": "773-782-2800"
}
],
"practiceLocations": [
{
"address_1": "550 Oakmont Ln",
"address_purpose": "LOCATION",
"city": "Westmont",
"state": "IL",
"postal_code": "605593700",
"country_code": "US",
"telephone_number": "630-601-1280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "JOANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-25",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209020589",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "joann.reyes.1@17986.direct.athenahealth.com",
"affiliation": "N",
"address_1": "3600 W Fullerton Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606472319",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.