Individual provider Active NPI

Cecille D Cruz, NP

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1548894298
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209020346 Issued in IL
Practice address
7447 W Talcott Ave Ste 1
Chicago, IL 60631-3712
Phone
(773) 774-0042
Fax
(773) 774-2008
NPI assigned
Mar 2, 2020
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209020346 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 1
Chicago, IL 60631-3712

Mailing address

25070 Network PL
Chicago, IL 60673-1250
Phone (847) 585-7067

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ccruz293325@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20200324000033 IL Practitioner - Nurse Practitioner 7113355249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 E Woodfield Rd
Suite 435
Schaumburg, IL 60173-5344

25070 Network PL
Chicago, IL 60673-1250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Cancer Specialists CurrentSince Mar 30, 2020 Accepting new patients
Illinois Cancer Specialists CurrentSince Mar 30, 2020 Accepting new patients

Locations

25070 Network Pl
Chicago, IL 60673
Phone (847) 585-7000

7447 W Talcott Ave
Ste 1
Chicago, IL 60631
Phone (773) 774-0042

8915 W Golf Rd
Niles, IL 60714
Phone (847) 692-9255

Interoperability endpoints

  • Direct secure messaging: ccruz293325@direct.myadvocateaurora.org
  • Direct secure messaging: cecille.cruz@ics.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1548894298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25070 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731250",
            "telephone_number": "847-585-7067",
            "fax_number": "847-240-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313712",
            "telephone_number": "773-774-0042",
            "fax_number": "773-774-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CECILLE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209020346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccruz293325@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7447 W Talcott Ave Ste 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7447 W Talcott Ave Ste 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.