Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gina Lynne Roppolo-Osborne, CNP

Individual provider Nurse Practitioner · NPI 1063613008

Gina Lynne Roppolo-Osborne, CNP is a Nurse Practitioner in Evanston, Illinois. Qualified in 1997, 29 years 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
29
Licensed in
IL
In the registry since
2007
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2650 Ridge Ave Dept OF Physical Medicine Ste 2204
Evanston, IL 60201-1718
Phone: (847) 570-2066
Fax: (847) 570-2901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2751 W Winona St, Chicago, IL 60625-2508 — (773) 878-8200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209-001334 (IL)

Record details

NPI number1063613008
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESApril 22, 2022
Certification dateApril 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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