Individual provider Active NPI

Tamam Zeidan, FNP

  • Family Nurse Practitioner
  • Westmont, IL
National Provider Identifier
1699359695
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023337 Issued in IL
Practice address
550 Oakmont LN
Westmont, IL 60559-3700
Phone
(708) 691-6785
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041423095 IL
Family Nurse Practitioner 363LF0000X 209023337 IL Primary

Addresses

Primary practice location

550 Oakmont LN
Westmont, IL 60559-3700

Mailing address

550 Oakmont LN
Westmont, IL 60559-3700
Phone (708) 691-6785

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
I20220328001486 IL Practitioner - Nurse Practitioner 2860887916 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041423095ILMDRegistered Nurse
209023337ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trivedimd LLC CurrentSince Nov 1, 2022 Accepting new patients
Apex Hospice and Palliative Care, Inc. CurrentSince Aug 18, 2024 Accepting new patients
Vpa PC CurrentSince Jul 1, 2025 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 8, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 8, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 29, 2022 Accepting new patients
Vpa PC CurrentSince Jul 1, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 8, 2022 Accepting new patients

Locations

1605 S Michigan Ave
Ste B
Chicago, IL 60616
Phone (312) 535-5770

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

621 E Lincoln Hwy
New Lenox, IL 60451
Phone (815) 907-5955

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

550 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280

510 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Interoperability endpoints

  • Direct secure messaging: tamam.zeidan.1@11381.direct.athenahealth.com

Organizations & group practices 10

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1699359695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 OAKMONT LN",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593700",
            "telephone_number": "708-691-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OAKMONT LN",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593700",
            "telephone_number": "708-691-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDAN",
        "first_name": "TAMAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041423095",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.