Active NPI
Geraldine Bemabou Ntum, N.P.
- Family Nurse Practitioner
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209013509
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Physicians of Joliet SC | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Joliet, IL
- NPI 1912473604
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.