Individual provider Active NPI

Geraldine Bemabou Ntum, N.P.

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1669845434
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013509 Issued in IL
Practice address
2025 S Chicago St Ste 1
Joliet, IL 60436-3173
Phone
(815) 726-2200
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 209013509 IL Primary

Addresses

Primary practice location

2025 S Chicago St Ste 1
Joliet, IL 60436-3173

Mailing address

2025 S Chicago St Ste 1
Joliet, IL 60436-3173
Phone (815) 726-2200

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
I20151112001661 IL Practitioner - Nurse Practitioner 6507176054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Physicians of Joliet SCGroup PAC ID 5193078095, 18 clinicians

Practice addresses (Care Compare)

2025 S Chicago St
Suite 1
Joliet, IL 60436-3173
Phone (815) 726-2200

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Physicians of Joliet SC CurrentSince Nov 18, 2019 Accepting new patients
Oak Street Health Physicians Group, PC Family Past Accepting new patients

Locations

2025 S Chicago St
Ste B
Joliet, IL 60436
Phone (815) 947-4174

2025 S Chicago St
Ste 1
Joliet, IL 60436
Phone (815) 726-2200

2202 Essington Rd
Ste 1
Joliet, IL 60435
Phone (815) 726-2200

121 Winchester Green Dr
Wilmington, IL 60481
Phone (815) 286-8487

Interoperability endpoints

  • Direct secure messaging: geraldine.ntum@pcpj.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1669845434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO ST STE 1",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604363173",
            "telephone_number": "815-726-2200",
            "fax_number": "815-582-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO ST STE 1",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604363173",
            "telephone_number": "815-726-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTUM",
        "first_name": "GERALDINE",
        "middle_name": "BEMABOU",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.