Individual provider Active NPI

Ghizlane Chemcham, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1871380048
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209030660 Issued in IL
Practice address
2140 W Division St
Chicago, IL 60622-7891
Phone
(312) 624-8364
Fax
(312) 929-3323
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 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 209030660 IL Primary

Addresses

Primary practice location

2140 W Division St
Chicago, IL 60622-7891

Mailing address

2140 W Division St
Chicago, IL 60622-7891
Phone (312) 624-8364

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
I20250709003328 IL Practitioner - Nurse Practitioner 0547774663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Pain Center of Illinois Inc. CurrentSince Jun 5, 2025 Accepting new patients
Ashland Medical Specialist Inc PastSince Dec 31, 2012 Accepting new patients

Locations

1925 E Rand Rd
Arlington Hts, IL 60004
Phone (224) 735-3522

5401 S Wentworth Ave
Chicago, IL 60609
Phone (773) 268-5664

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1871380048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227891",
            "telephone_number": "312-624-8364",
            "fax_number": "312-929-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227891",
            "telephone_number": "312-624-8364",
            "fax_number": "312-929-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEMCHAM",
        "first_name": "GHIZLANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.