Individual provider Active NPI

Lovelle Ronquillo Reynolds, PHD, APRN, FNP-BC

  • Nurse Practitioner
  • Morton Grove, IL
National Provider Identifier
1881580686
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.032099 Issued in IL
Practice address
6841 Dempster St
Morton Grove, IL 60053-2628
Phone
(224) 233-0299
NPI assigned
Jun 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.032099 IL Primary

Addresses

Primary practice location

6841 Dempster St
Morton Grove, IL 60053-2628

Mailing address

6841 Dempster St
Morton Grove, IL 60053-2628
Phone (224) 233-0299

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
I20250825002751 IL Practitioner - Nurse Practitioner 3375043276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Chicago Urgent Care SCGroup PAC ID 0042699464, 8 clinicians

Practice addresses (Care Compare)

6841 Dempster St
Morton Grove, IL 60053-2628
Phone (224) 233-0299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
209.032099ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Morton Grove SC CurrentSince Jun 23, 2025 Accepting new patients
Northwest Chicago Urgent Care SC CurrentSince Jul 14, 2025 Accepting new patients

Locations

6841 Dempster St
Morton Grove, IL 60053
Phone (224) 200-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1881580686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532628",
            "telephone_number": "224-233-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532628",
            "telephone_number": "224-233-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LOVELLE",
        "middle_name": "RONQUILLO",
        "credential": "PHD, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.032099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.