Individual provider Active NPI

Catherine An Rebolledo, APN, FNP-BC

  • Family Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1629512850
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277002022 Issued in IL
Practice address
3520 Milwaukee Ave Unit 106
Northbrook, IL 60062-7130
Phone
(224) 522-9798
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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 277002022 IL Primary

Addresses

Primary practice location

3520 Milwaukee Ave Unit 106
Northbrook, IL 60062-7130

Mailing address

3520 Milwaukee Ave Unit 106
Northbrook, IL 60062-7130
Phone (224) 522-9798

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
I20170417001059 IL Practitioner - Nurse Practitioner 6901182435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277002022ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Balance Chiropractic Medical and Wellness PLLC Family PastSince Sep 21, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1629512850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 MILWAUKEE AVE UNIT 106",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627130",
            "telephone_number": "224-522-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 MILWAUKEE AVE UNIT 106",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627130",
            "telephone_number": "224-522-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOLLEDO",
        "first_name": "CATHERINE",
        "middle_name": "AN",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.