Individual provider Active NPI

Dan Ramos Clemente, FNP-BC

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1366805855
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014081 Issued in IL
Practice address
3551 Highland Ave Ste 200a
Downers Grove, IL 60515-2100
Phone
(844) 376-3876
Fax
(630) 929-0633
NPI assigned
Apr 1, 2016
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 209014081 IL Primary

Addresses

Primary practice location

3551 Highland Ave Ste 200a
Downers Grove, IL 60515-2100

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other identifiers 1

IdentifierTypeStateIssuer
209014081OtherILAPN LICENSE NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address dclemente206049@direct.myadvocateaurora.org Direct

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
I20160614000185 IL Practitioner - Nurse Practitioner 1850682360 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

3815 Highland Ave
Downers Grove, IL 60515-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health SC CurrentSince Apr 21, 2022 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Apr 1, 2020 Accepting new patients
Apex Hospice and Palliative Care, Inc. CurrentSince May 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 6, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 6, 2016 Accepting new patients
Gateway Spine and Pain Physicians, LLC Past Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

26895 Network Pl
Chicago, IL 60673

29373 Network Pl
Chicago, IL 60673

3551 Highland Ave
Ste 200
Downers Grove, IL 60515
Phone (630) 275-2900

3551 Highland Ave
Ste 200A
Downers Grove, IL 60515
Phone (630) 434-7640

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

2500 W Higgins Rd
Ste 1165
Hoffman Estates, IL 60169
Phone (647) 610-3188

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

1299 E Ogden Ave
Naperville, IL 60563
Phone (630) 548-2057

1700 Luther Ln
Ste 1170
Park Ridge, IL 60068
Phone (844) 376-3876

1875 W Dempster St
Ste 410
Park Ridge, IL 60068
Phone (847) 318-9595

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

510 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280

Interoperability endpoints

  • Direct secure messaging: dclemente206049@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBHAD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1366805855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 HIGHLAND AVE STE 200A",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152100",
            "telephone_number": "844-376-3876",
            "fax_number": "630-929-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "DAN",
        "middle_name": "RAMOS",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE NUMBER",
            "identifier": "209014081",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3551 Highland Ave Ste 200A",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605152100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dclemente206049@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3551 Highland Ave Ste 200A",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605152100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.