Individual provider Active NPI

Noor Aziz

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1396444972
Registry record updated Apr 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022141180 Issued in IL
Practice address
3017 N Ashland Ave Apt 1N
Chicago, IL 60657-3143
Phone
(773) 935-1199
NPI assigned
Mar 2, 2023
Last updated
Apr 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2023

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: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 2022141180 IL Primary

Addresses

Primary practice location

3017 N Ashland Ave Apt 1N
Chicago, IL 60657-3143

Mailing address

3017 N Ashland Ave Apt 1N
Chicago, IL 60657-3143
Phone (773) 935-1199

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
I20230822002264 IL Practitioner - Nurse Practitioner 6507228699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R and W Medical LLCGroup PAC ID 6608872569, 4 clinicians

Practice addresses (Care Compare)

3017 N Ashland Ave
Apt 1N
Chicago, IL 60657-3143
Phone (773) 935-1199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022141180ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R & W Medical LLC Multi-Specialty CurrentSince Jun 6, 2023 Accepting new patients

Locations

911 W 55th St
Countryside, IL 60525
Phone (708) 579-5790

Organizations & group practices 1

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": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682121600000",
    "number": "1396444972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 N ASHLAND AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573143",
            "telephone_number": "773-935-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 N ASHLAND AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573143",
            "telephone_number": "773-935-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "NOOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-04-22",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2022141180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.