Individual provider Active NPI

Maria Carmen Del Cid, CPNP

  • Pediatric Nurse Practitioner
  • Addison, IL
National Provider Identifier
1396047668
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209.008444 Issued in IL
Practice address
1111 W Lake St
Addison, IL 60101-1101
Phone
(630) 628-1811
Fax
(630) 628-1501
NPI assigned
Nov 18, 2010
Last updated
May 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209.008444 IL Primary

Addresses

Primary practice location

1111 W Lake St
Addison, IL 60101-1101

Mailing address

1111 W Lake St
Addison, IL 60101-1101
Phone (630) 628-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.008444ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ann & Robert H. Lurie Children's Hospital of Chicago Current Accepting new patients
Lurie Children's Medical Group, LLC Past Accepting new patients

Locations

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

Interoperability endpoints

  • Direct secure messaging: mdelcid150420@direct.luriechildrens.org

Organizations & group practices 2

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1396047668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011101",
            "telephone_number": "630-628-1811",
            "fax_number": "630-628-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011101",
            "telephone_number": "630-628-1811",
            "fax_number": "630-628-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CID",
        "first_name": "MARIA CARMEN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.008444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.