Hidden Pine Family Practice Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HIDDEN PINE FAMILY PRACTICE INC

Doing business as

Medical Practice

Practice address

3540 Seven Bridges Dr Ste 100
Woodridge, IL 60517-1254

Phone

(331) 269-9896

Fax

(888) 388-0996

NPI assigned

Nov 30, 2022

Organization subpart

No

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

Authorized official

Name

Arthur OliverosNPI 1275992323

Title

President

Phone

(331) 269-9896

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Medical Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arthur Pilapil Oliveros, FNP-BC (DNP)

  • Family Nurse Practitioner
  • Olympia Fields, IL
  • NPI 1275992323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1861102998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR STE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171254",
            "telephone_number": "847-420-9664",
            "fax_number": "888-388-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR STE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171254",
            "telephone_number": "331-269-9896",
            "fax_number": "888-388-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN PINE FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "OLIVEROS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "331-269-9896"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024794778",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen L Healy
• Melanie D Heap, LCSW
• Dawn Wolcott Heiman, AU.D.
• Razan Hendi
• Emily Hernandez
• Kayla Higgins
• Highland Park CVS LLC (CVS Pharmacy #16304)
• Highland Park CVS, L.L.C. (CVS Pharmacy #06789)
• Jordan Hirstein, DPT
• Muna Hobi

• Family Nurse Practitioner in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.