Individual provider Active NPI

Melissa Marie Gonzalez

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1518667195
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026790 Issued in IL
Practice address
3951 W 103Rd St
Chicago, IL 60655-3703
Phone
(866) 389-2727
NPI assigned
Mar 3, 2023
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 209026790 IL Primary

Addresses

Primary practice location

3951 W 103Rd St
Chicago, IL 60655-3703

Mailing address

7575 Churchill Dr
Hanover Park, IL 60133-2606
Phone (773) 405-9946

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
I20230512002075 IL Practitioner - Nurse Practitioner 3274999479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Video Virtual Care North, LLCGroup PAC ID 1254762297, 15 clinicians
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians

Practice addresses (Care Compare)

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727

14701 Pulaski Rd
Midlothian, IL 60445-3410
Phone (866) 389-2727

9139 Broadway Ave
Brookfield, IL 60513-1303
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209026790ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Mar 30, 2023 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Mar 30, 2023 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Dec 8, 2025 Accepting new patients

Locations

300 N Eola Rd
Aurora, IL 60502
Phone (630) 978-2380

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

9139 Broadway Ave
Brookfield, IL 60513
Phone (708) 387-9982

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

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

14701 Pulaski Rd
Midlothian, IL 60445
Phone (708) 239-2150

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

1299 E Ogden Ave
Naperville, IL 60563
Phone (630) 548-2057

2050 Nelson Rd
New Lenox, IL 60451
Phone (815) 463-5281

936 Willow Rd
Northbrook, IL 60062
Phone (847) 209-3814

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

9551 171st St
Tinley Park, IL 60487
Phone (708) 873-0062

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

6748 W 111th St
Worth, IL 60482
Phone (708) 361-9701

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

Networks

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

Organizations & group practices 3

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1518667195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 CHURCHILL DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332606",
            "telephone_number": "773-405-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553703",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.