Individual provider Active NPI

Ruvini Devas Gunawardhane, APN-CNP

  • Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1609230606
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209011230 Issued in IL
Practice address
1122 Willow Rd
Northbrook, IL 60062-6824
Phone
(847) 686-4444
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.011230 IL
Nurse Practitioner 363L00000X 209011230 IL Primary

Addresses

Primary practice location

1122 Willow Rd
Northbrook, IL 60062-6824

Mailing address

1122 Willow Rd
Northbrook, IL 60062-6824
Phone (847) 686-4444

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
I20180622000580 IL Practitioner - Nurse Practitioner 7618241076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

Practice addresses (Care Compare)

2350 Ravine Way
Suite 600
Glenview, IL 60025-7657
Phone (847) 998-5680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.011230ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute, LLC CurrentSince Nov 10, 2025 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Nov 10, 2025 Accepting new patients
Heal N Cure Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Evanston Township High School Health Center Past Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2350 Ravine Way
Ste 600
Glenview, IL 60025
Phone (847) 998-5680

Organizations & group practices 6

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1609230606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 WILLOW RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626824",
            "telephone_number": "847-686-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 WILLOW RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626824",
            "telephone_number": "847-686-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAS GUNAWARDHANE",
        "first_name": "RUVINI",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011230",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.