Individual provider Active NPI

Ivaylo Miltchov Gramatikov, FNP

  • Family Nurse Practitioner
  • Franklin Park, IL
National Provider Identifier
1770900094
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010229 Issued in IL
Practice address
9518 Franklin Ave
Franklin Park, IL 60131-2705
Phone
(847) 260-5532
Fax
(847) 260-5721
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 209010229 IL Primary

Addresses

Primary practice location

9518 Franklin Ave
Franklin Park, IL 60131-2705

Mailing address

9518 Franklin Ave
Franklin Park, IL 60131-2705
Phone (847) 260-5532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empatia Care LTD SC Past Accepting new patients

Organizations & group practices 1

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1770900094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312705",
            "telephone_number": "847-260-5532",
            "fax_number": "847-260-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312705",
            "telephone_number": "847-260-5532",
            "fax_number": "847-260-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMATIKOV",
        "first_name": "IVAYLO",
        "middle_name": "MILTCHOV",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.