Bluehealth Medical LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BLUEHEALTH MEDICAL LLC

Practice address

3210 N Kilbourn Ave Unit 11
Chicago, IL 60641-4571

Phone

(773) 951-0941

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Mary-Jennelle Guevara, APNNPI 1225397268

Title

Owner

Phone

(773) 951-0941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary-Jennelle Guevara

  • Acute Care Nurse Practitioner
  • Park Ridge, IL
  • NPI 1225397268
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1417630229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 N KILBOURN AVE UNIT 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414571",
            "telephone_number": "773-951-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N KILBOURN AVE UNIT 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414571",
            "telephone_number": "773-951-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEHEALTH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "MARY-JENNELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-951-0941",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Briann Blue-Farrell
• Amy Blue, LCSW
• Zoe Blue
• Blueapple Health
• Bluebird Wellness. LLC
• Blueoak Health
• Bluesky Telepsych
• Bonnie Gail Bluestein
• Bryan Bluhm, MD
• Kyle Alan Bluhm

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.