Individual provider Active NPI

Joanie NG

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1417695982
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.025202 Issued in IL
Practice address
2335 S Wentworth Ave Ste B
Chicago, IL 60616-0117
Phone
(312) 566-4545
Fax
(773) 943-6370
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 209.025202 IL Primary

Addresses

Primary practice location

2335 S Wentworth Ave Ste B
Chicago, IL 60616-0117

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (312) 566-4545

Other practice location 1

2600 S Michigan Ave Ste 408
Chicago, IL 60616-2696
Phone (312) 808-0900

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
I20230407001053 IL Practitioner - Nurse Practitioner 9537534482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1417695982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "312-566-4545",
            "fax_number": "773-943-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 S WENTWORTH AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606160117",
            "telephone_number": "312-566-4545",
            "fax_number": "773-943-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 S Michigan Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606162696",
            "country_code": "US",
            "telephone_number": "312-808-0900",
            "fax_number": "312-808-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "JOANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.