Active NPI
Nimmy Merin Baby, FNP
- Family Nurse Practitioner
- Willowbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209024873
- Practice address
- 40 75TH St
Willowbrook, IL 60527-2325 - Phone
- (630) 581-5372
- NPI assigned
- May 9, 2022
- Last updated
- May 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209024873 | IL | Primary |
Addresses
Primary practice location
40 75TH St
Willowbrook, IL 60527-2325
Mailing address
40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longevity Accountable Care, PA | Current | Accepting new patients | |
| Longevity Accountable Care, PA | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients |
Locations
6300 N California Ave
Chicago, IL 60659
Phone (773) 338-4244
900 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 726-1200
8425 Waukegan Rd
Morton Grove, IL 60053
Phone (847) 929-9690
1122 Willow Rd
Northbrook, IL 60062
Phone (847) 686-4444
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1144078965
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
-
dba Midwest Express Clinic
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
-
- Geriatric Medicine (Family Medicine) Physician
- Salisbury, NC
- NPI 1396584454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1508502980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 75TH ST",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272325",
"telephone_number": "630-581-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 75TH ST",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272325",
"telephone_number": "630-581-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABY",
"first_name": "NIMMY",
"middle_name": "MERIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209024873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willowbrook, IL
- Dania Assaf
- Athletic and Therapeutic Institute of Naperville LLC (ATI Physical Therapy)
- Athletic and Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
- Athletico LTD (Athletico Physical Therapy)
- Athletico LTD (Athletico Sports Medicine and Physical Therapy)
- Sophia Baffes
- Yesenia Bailey, APRN, FNP-C
- Ashley Ballard
- Jaime Ballesteros, D.M.D.
- Julia Balnius
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.