Active NPI
Nora Beltran, MD
- General Practice Physician
- Waukegan, IL
National Provider Identifier
1902853773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036-068-408
- Practice address
- 2400 Belvidere Rd
Waukegan, IL 60085-6165 - Phone
- (847) 377-8440
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 036-068-408 | IL | |
| General Practice Physician | 208D00000X | 036-068-408 | IL | Primary |
Addresses
Primary practice location
2400 Belvidere Rd
Waukegan, IL 60085-6165
Mailing address
3731 Cindy LN
Glenview, IL 60025-3781
Phone (224) 703-2033
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-068-408 | IL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belma Corporation | Past | Accepting new patients | |
| Community Visiting Physicians LLC | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1467759993
-
- Multi-Specialty Clinic/Center
- Bensenville, IL
- NPI 1497539969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1902853773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 CINDY LN",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253781",
"telephone_number": "224-703-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BELVIDERE RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600856165",
"telephone_number": "847-377-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "NORA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "IL",
"license": "036-068-408",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036-068-408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.