Active NPI
Ernest G Nora, MD
- Obstetrics & Gynecology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036066176
- Practice address
- 3538 West Fullerton Ave.
Chicago, IL 60647 - Phone
- (773) 772-1212
- Fax
- (773) 772-8666
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036066176 | IL | Primary |
Addresses
Primary practice location
3538 West Fullerton Ave.
Chicago, IL 60647
Mailing address
PO Box 95446
Chicago, IL 60694-5446
Phone (773) 772-1212
Other practice location 1
2913 N Commonwealth Ave Fl 5
Chicago, IL 60657-6211
Phone (773) 665-3080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036066176 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | enora5684@ce-direct.presencehealth.org |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036066176 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Healthcare Services | Current | Accepting new patients | |
| Thorek Memorial Hospital | Current | Accepting new patients | |
| Presence Healthcare Services | Current | Accepting new patients | |
| Presence Healthcare Services | Current | Accepting new patients | |
| Thorek Memorial Hospital | Current | Accepting new patients |
Locations
1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417
2900 N Lake Shore Dr
Fl 1
Chicago, IL 60657
Phone (773) 665-3080
2913 N Commonwealth Ave
Fl 5
Chicago, IL 60657
Phone (773) 472-3427
2913 N Commonwealth Ave
Chicago, IL 60657
Phone (773) 665-3080
62311 Collection Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- enora5684@ce-direct.presencehealth.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982643961
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1043748338
-
- Family Medicine Physician
- Chicago, IL
- NPI 1174630040
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1891755351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1689783227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95446",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606945446",
"telephone_number": "773-772-1212",
"fax_number": "773-772-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3538 WEST FULLERTON AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60647",
"telephone_number": "773-772-1212",
"fax_number": "773-772-8666"
}
],
"practiceLocations": [
{
"address_1": "2913 N Commonwealth Ave Fl 5",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606576211",
"country_code": "US",
"telephone_number": "773-665-3080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORA",
"first_name": "ERNEST",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036066176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036066176",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "enora5684@ce-direct.presencehealth.org",
"affiliation": "N",
"address_1": "2913 N Commonwealth Ave Fl 5",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606576211",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 24, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.