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

Desiree Michelle Provax, APN

Individual provider Family Nurse Practitioner · NPI 1942760962

Desiree Michelle Provax, APN is a Nurse Practitioner in Chicago, Illinois. Qualified in 2018, 8 years ago. Practices with Humboldt Park Health, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

5145 N California Ave Ste 331
Chicago, IL 60625-3661
Phone: (847) 570-1027
Fax: (773) 989-1734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5237 W Windsor Ave, Chicago, IL 60630-3720 — (773) 547-3544

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209018899 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209018899 (IL)

Record details

NPI number1942760962
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Humboldt Park Health — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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