Active NPI
Gloria Quintanilla
- Nurse Practitioner
- Elgin, IL
National Provider Identifier
1821882275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F04250070
- Practice address
- 745 Fletcher Dr
Elgin, IL 60123-4747 - Phone
- (847) 888-1300
- NPI assigned
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F04250070 | IL | Primary |
Addresses
Primary practice location
745 Fletcher Dr
Elgin, IL 60123-4747
Mailing address
336 N Worth Ave
Elgin, IL 60123-3449
Phone (847) 858-9203
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F04250070 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1821882275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 N WORTH AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601233449",
"telephone_number": "847-858-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 FLETCHER DR",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234747",
"telephone_number": "847-888-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANILLA",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "F04250070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.