Individual provider Active NPI

Imelda Homecgoy

  • Family Nurse Practitioner
  • Shorewood, IL
National Provider Identifier
1487010534
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013686 Issued in IL
Practice address
1155 W Jefferson St
Shorewood, IL 60404-0701
Phone
(815) 741-5023
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 209.013686 IL Primary

Addresses

Primary practice location

1155 W Jefferson St
Shorewood, IL 60404-0701

Mailing address

1155 W Jefferson St
Shorewood, IL 60404-0701
Phone (815) 741-5203

Other identifiers 1

IdentifierTypeStateIssuer
209.013686OtherILLICENSE NUMBER

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
I20160715000158 IL Practitioner - Nurse Practitioner 9638461429 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians

Practice addresses (Care Compare)

1155 W Jefferson St
Shorewood, IL 60404-0701
Phone (866) 389-2727

8645 Woodward Ave
Woodridge, IL 60517-3148
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.013686ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baal Perazim Wellness and Health Services PC CurrentSince Jan 1, 2023 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
Baal Perazim Wellness, Inc CurrentSince Jan 1, 2023 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Apr 12, 2023 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Aug 1, 2017 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Mar 16, 2023 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 7, 2021 Accepting new patients

Locations

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

3951 W 103rd St
Chicago, IL 60655
Phone (773) 351-4675

3416 S Halsted St
Chicago, IL 60608
Phone (773) 451-9444

2835 N Sheffield Ave
Ste 500
Chicago, IL 60657
Phone (773) 525-6955

2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013

2425 E 71st St
Chicago, IL 60649
Phone (773) 721-5000

1333 Butterfield Rd
Ste 130
Downers Grove, IL 60515
Phone (630) 371-0133

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

16760 W Division St
Lockport, IL 60441
Phone (815) 834-4290

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

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

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

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

1155 W Jefferson St
Shorewood, IL 60404
Phone (815) 741-5023

8645 Woodward Ave
Woodridge, IL 60517
Phone (630) 910-2250

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1487010534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W JEFFERSON ST",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604040701",
            "telephone_number": "815-741-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W JEFFERSON ST",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604040701",
            "telephone_number": "815-741-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMECGOY",
        "first_name": "IMELDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "209.013686",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, IL

Sources for this page

Verify at the official NPI Registry.