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

Jovany Omar Palacios-Ortega, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1629873799

Jovany Omar Palacios-Ortega, REGISTEREDNURSE is a Nurse Practitioner in Schaumburg, Illinois. Qualified in 2025, 1 year ago. Practices as a sole proprietor. 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

1234 Valley Lake Dr Apt 345
Schaumburg, IL 60195-3625
Phone: (224) 400-2715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209032413 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041495685 (IL)

Record details

NPI number1629873799
Entity typeIndividual (Type 1)
GenderMale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedFebruary 13, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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