Active NPI
Nancy Quezada, APN
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.017979
- Practice address
- 2627 West Cermark Rd
Chicago, IL 60608-2325 - Phone
- (312) 698-9040
- Fax
- (855) 618-2276
- NPI assigned
- Sep 3, 2018
- Last updated
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209.017979 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.017979 | IL | Primary |
Addresses
Primary practice location
2627 West Cermark Rd
Chicago, IL 60608-2325
Mailing address
2627 West Cermark Rd
Chicago, IL 60608-2325
Phone (312) 698-9040
Other practice location 1
9977 Woods Dr Fl 1
Skokie, IL 60077
Phone (224) 364-2273
Other practice location 2
7411 Lake St
River Forest, IL 60305-1876
Phone (708) 345-3076
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5741 W Cermak Rd
Cicero, IL 60804-2129
Phone (708) 222-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.017979 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonycares Complete Health Services, PLLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Locations
1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
515 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-7882
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075
6831 North Ave
Oak Park, IL 60302
Phone (708) 298-0540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Cicero, IL
- NPI 1518498393
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
-
dba HarmonyCares Health Services
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
-
dba Endeavor Health Highland Park Hospital
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1649752023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 WEST CERMARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606082325",
"telephone_number": "312-698-9040",
"fax_number": "855-618-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 WEST CERMARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606082325",
"telephone_number": "312-698-9040",
"fax_number": "855-618-2276"
}
],
"practiceLocations": [
{
"address_1": "9977 Woods Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "60077",
"country_code": "US",
"telephone_number": "224-364-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7411 Lake St",
"address_purpose": "LOCATION",
"city": "River Forest",
"state": "IL",
"postal_code": "603051876",
"country_code": "US",
"telephone_number": "708-345-3076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEZADA",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-03",
"last_updated": "2022-08-10",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209.017979",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.017979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.