Individual provider Active NPI

Dina Levy Zimmerman, NP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1699335018
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.018631 Issued in IL
Practice address
6374 N Lincoln Ave
Chicago, IL 60659-1275
Phone
(773) 837-4634
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 209.018631 IL Primary

Addresses

Primary practice location

6374 N Lincoln Ave
Chicago, IL 60659-1275

Mailing address

2843 W Sherwin Avenue
Chicago, IL 60645
Phone (773) 837-4634

Other names 1

  • Dina Levy Other name

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
I20220106000652 IL Practitioner - Nurse Practitioner 2860883576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Freedman RPM Medical SCGroup PAC ID 0749634293, 3 clinicians

Practice addresses (Care Compare)

8019 Ridgeway Ave
Suite D
Skokie, IL 60076-3408
Phone (847) 443-1170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.018631ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Stat PLLC Family CurrentSince Aug 1, 2022 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Dec 22, 2021 Accepting new patients
Lincoln Pediatric Center, PC Past Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

6374 N Lincoln Ave
Ste 312
Chicago, IL 60659
Phone (312) 308-0219

4538 N Beacon St
Chicago, IL 60640
Phone (773) 275-7200

Organizations & group practices 4

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1699335018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 W SHERWIN AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60645",
            "telephone_number": "773-837-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "773-837-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY ZIMMERMAN",
        "first_name": "DINA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "LEVY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.