Individual provider Active NPI

Maryam Morovati, APRN

  • Family Nurse Practitioner
  • Willowbrook, IL
National Provider Identifier
1295580769
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
. Issued in IL
Practice address
40 75TH St
Willowbrook, IL 60527-2325
Phone
(630) 581-5372
Fax
(630) 568-3247
NPI assigned
Apr 18, 2024
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 . IL Primary

Addresses

Primary practice location

40 75TH St
Willowbrook, IL 60527-2325

Mailing address

345 Kensington Dr
Oswego, IL 60543-7951
Phone (331) 725-8871

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
I20240607000578 IL Practitioner - Nurse Practitioner 5698217438 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Urgent Care PCGroup PAC ID 9830634591, 6 clinicians

Practice addresses (Care Compare)

1239 S Naper Blvd
Suite 115
Naperville, IL 60540-8361
Phone (312) 399-6725

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
.ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Vein PC CurrentSince Oct 10, 2024 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Apr 7, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Apr 28, 2024 Accepting new patients
Pulse Urgent Care PC CurrentSince Oct 10, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Apr 28, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Apr 27, 2025 Accepting new patients

Locations

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

800 W Fulton Market
Fl 12
Chicago, IL 60607

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

7425 Barrington Rd
Hanover Park, IL 60133
Phone (630) 823-0392

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

1239 S Naper Blvd
Ste 115
Naperville, IL 60540
Phone (312) 399-6725

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 6

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": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1295580769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KENSINGTON DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437951",
            "telephone_number": "331-725-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372",
            "fax_number": "630-568-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROVATI",
        "first_name": "MARYAM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": ".",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.