Individual provider Active NPI

Elvira Fe Baquirin Bravo, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1265391809
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.034468 Issued in IL
Practice address
2720 W Division St
Chicago, IL 60622-2853
Phone
(773) 772-7858
Fax
(773) 276-6668
NPI assigned
Jan 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 209.034468 IL Primary

Addresses

Primary practice location

2720 W Division St
Chicago, IL 60622-2853

Mailing address

2720 W Division St
Chicago, IL 60622-2853
Phone (773) 772-7858

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
I20260205000508 IL Practitioner - Nurse Practitioner 1658850151 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
Group practices
Physicians House CallsGroup PAC ID 2668708579, 7 clinicians
Mobile Heal Well Wound Care LLCGroup PAC ID 1254830029, 3 clinicians
Vivek Gupta, M.D., S.C.Group PAC ID 3678668308, 28 clinicians

Practice addresses (Care Compare)

1580 N Northwest Hwy
Suite 121a
Park Ridge, IL 60068-1462
Phone (847) 813-5779

2540 W Rascher Ave
Apt 1
Chicago, IL 60625-8018
Phone (773) 961-7571

2720 W Division St
Chicago, IL 60622-2853
Phone (773) 772-7858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209034468ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Heal Well Wound Care LLC Multi-Specialty CurrentSince Jan 21, 2026 Accepting new patients
Vivek Gupta, M.D., S.C. Multi-Specialty CurrentSince Jan 27, 2026 Accepting new patients

Locations

2720 W Division St
Chicago, IL 60622
Phone (773) 523-8600

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.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1265391809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222853",
            "telephone_number": "773-772-7858",
            "fax_number": "773-276-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222853",
            "telephone_number": "773-772-7858",
            "fax_number": "773-276-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "ELVIRA FE",
        "middle_name": "BAQUIRIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.034468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.