Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bora Kwon, APN-CNP

Individual provider Nurse Practitioner · NPI 1992670368

Bora Kwon, APN-CNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2025, 1 year ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

5140 N California Ave
Chicago, IL 60625-3645
Phone: (773) 989-3957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3225 W Foster Ave, Chicago, IL 60625-4823 — (773) 244-6200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209033178 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209033178 (IL)

Record details

NPI number1992670368
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedOctober 7, 2025
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address2650 Ridge Ave, Evanston, IL 60201-1700

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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