Individual provider Active NPI

Paulianne Czesca Belen Gonzales, NP

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1679083471
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016250 Issued in IL
Practice address
136 Ogden Ave
Downers Grove, IL 60515-2322
Phone
(630) 566-4810
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209033988 IL
Family Nurse Practitioner 363LF0000X 209016250 IL Primary

Addresses

Primary practice location

136 Ogden Ave
Downers Grove, IL 60515-2322

Mailing address

PO Box 129
Plainfield, IL 60544-0129
Phone (800) 843-0355

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
I20190417001683 IL Practitioner - Nurse Practitioner 0547501652 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209033988ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative IV Care, PLLC CurrentSince Sep 18, 2023 Accepting new patients
Advanced Pain Consultants, S.C. CurrentSince Apr 1, 2019 Accepting new patients
Innovative Platinum Care, SC CurrentSince Sep 18, 2023 Accepting new patients

Locations

2662 N Lincoln Ave
Chicago, IL 60614
Phone (773) 270-5600

2400 N Ashland Ave
Chicago, IL 60614
Phone (773) 259-7180

136 Ogden Ave
Downers Grove, IL 60515
Phone (630) 566-4810

2100 Clearwater Dr
Ste 100
Oak Brook, IL 60523
Phone (630) 448-0923

Interoperability endpoints

  • Direct secure messaging: paulianne.gonzales.2@13676.direct.athenahealth.com

Organizations & group practices 3

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1679083471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605440129",
            "telephone_number": "800-843-0355",
            "fax_number": "815-834-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152322",
            "telephone_number": "630-566-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "PAULIANNE CZESCA",
        "middle_name": "BELEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209033988",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.