Individual provider Active NPI

Jessica Dumitriu, NP

  • Women's Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1548875560
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209021645 Issued in IL
Practice address
1147 S Wabash Ave Ste 200
Chicago, IL 60605-2348
Phone
(312) 929-9191
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209021645 IL Primary

Addresses

Primary practice location

1147 S Wabash Ave Ste 200
Chicago, IL 60605-2348

Mailing address

1449 N Larrabee St Unit a
Chicago, IL 60610-3262
Phone (847) 406-0540

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
I20240925001490 IL Practitioner - Nurse Practitioner 2365983707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women's Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

1721 Moon Lake Blvd
Suite 100
Hoffman Estates, IL 60169-5700
Phone (847) 884-9800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women's Health Care, LTD. CurrentSince Jun 24, 2024 Accepting new patients

Locations

3233 N Arlington Heights Rd
Ste 103
Arlington Heights, IL 60004
Phone (847) 342-8220

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

1721 Moon Lake Blvd
Ste 100
Hoffman Estates, IL 60169
Phone (847) 884-9700

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

Interoperability endpoints

  • Direct secure messaging: jessica.dumitriu.1@21117.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1548875560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 N LARRABEE ST UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103262",
            "telephone_number": "847-406-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052348",
            "telephone_number": "312-929-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMITRIU",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209021645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.