Individual provider Active NPI

Roselle C Yu-Isiderio, FNP-BC

  • Adult Health Nurse Practitioner
  • Zion, IL
National Provider Identifier
1871241067
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209024882 Issued in IL
Practice address
2520 Elisha Avenue
Zion, IL 60099
Phone
(800) 322-9183
Fax
(847) 520-8929
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209024882 IL
Family Nurse Practitioner 363LF0000X 209024882 IL
Adult Health Nurse Practitioner 363LA2200X 209024882 IL Primary

Addresses

Primary practice location

2520 Elisha Avenue
Zion, IL 60099

Mailing address

2361 Paysphere Circle
Chicago, IL 60067
Phone (800) 322-9183

Other identifiers 1

IdentifierTypeStateIssuer
209024882MedicaidIL

Other names 1

  • Roselle Chan Yu-Isiderio Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hriveron@ewimahealthcare.com

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
I20220418001626 IL Practitioner - Nurse Practitioner 1557758778 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians
GGL Healthcare Associates PLLCGroup PAC ID 0749654572, 5 clinicians

Practice addresses (Care Compare)

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

9933 Lawler Ave
Suite 440
Skokie, IL 60077-3720
Phone (224) 251-8490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209024882ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Inpatient Care, LTD. CurrentSince Mar 1, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Jul 1, 2023 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Jul 14, 2024 Accepting new patients
GGL Healthcare Associates, PLLC Nurse Practitioner CurrentSince Jan 23, 2023 Accepting new patients
Best Practices Inpatient Care,LTD CurrentSince Mar 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

4646 N Marine Dr
#B125
Chicago, IL 60640
Phone (773) 572-0032

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

9933 Lawler Ave
Ste 440
Skokie, IL 60077
Phone (224) 251-8490

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

342 S Milwaukee Ave
Wheeling, IL 60090
Phone (773) 973-7570

2534 Elim Ave
Zion, IL 60099
Phone (847) 328-6503

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

Interoperability endpoints

  • Direct secure messaging: ryuisiderio187361@cityofhope.direct-ci.com

Organizations & group practices 6

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 3

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1871241067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "800-322-9183",
            "fax_number": "773-973-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ELISHA AVENUE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "800-322-9183",
            "fax_number": "847-520-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU-ISIDERIO",
        "first_name": "ROSELLE",
        "middle_name": "C",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2025-05-21",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024882",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209024882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209024882",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hriveron@ewimahealthcare.com",
            "affiliation": "N",
            "address_1": "342 S Milwaukee Ave",
            "city": "Wheeling",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600905021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSELLE",
            "last_name": "YU-ISIDERIO",
            "middle_name": "CHAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.