Individual provider Active NPI

Crystal Elena Estrada, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1720782154
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03230543 Issued in IL
Practice address
142 E Ontario St Ste 1400
Chicago, IL 60611-2818
Phone
(312) 625-1220
Fax
(872) 299-3109
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 F03230543 IL Primary

Addresses

Primary practice location

142 E Ontario St Ste 1400
Chicago, IL 60611-2818

Mailing address

142 E Ontario St Ste 1400
Chicago, IL 60611-2818
Phone (708) 203-1254

Other practice location 1

5174 W Cermak Rd
Cicero, IL 60804
Phone (708) 222-0100

Other practice location 2

142 E Ontario St Ste 1400
Chicago, IL 60611-2818
Phone (312) 971-3318

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
I20230818002168 IL Practitioner - Nurse Practitioner 5698137818 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
RCH Brain and Mind Center Il, PCGroup PAC ID 4082118443, 2 clinicians
Cermak Medical Group LLCGroup PAC ID 7113269242, 21 clinicians

Practice addresses (Care Compare)

142 E Ontario St
Suite 1400
Chicago, IL 60611-2818
Phone (682) 449-9502

5741 W Cermak Rd
Cicero, IL 60804-2129
Phone (708) 222-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F03230543ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TT Medical Group LLC CurrentSince Jun 4, 2023 Accepting new patients
RCH Brain & Mind Center Il, PC CurrentSince Jun 6, 2025 Accepting new patients
Cermak Medical Group LLC CurrentSince Jun 4, 2023 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

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

142 E Ontario St
Ste 1400
Chicago, IL 60611
Phone (312) 971-3318

800 W Fulton Market
Fl 12
Chicago, IL 60607

5741 W Cermak Rd
Cicero, IL 60804
Phone (708) 222-0100

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

741 S McHenry Ave
Ste Cd
Crystal Lake, IL 60014
Phone (630) 533-4038

335 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 226-1006

1669 Algonquin Rd
Rolling Meadows, IL 60008
Phone (847) 310-3211

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1720782154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E ONTARIO ST STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112818",
            "telephone_number": "708-203-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E ONTARIO ST STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112818",
            "telephone_number": "312-625-1220",
            "fax_number": "872-299-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5174 W Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "IL",
            "postal_code": "60804",
            "country_code": "US",
            "telephone_number": "708-222-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 E Ontario St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112818",
            "country_code": "US",
            "telephone_number": "312-971-3318",
            "fax_number": "872-299-3109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "CRYSTAL",
        "middle_name": "ELENA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F03230543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.