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

Mr. Mateo M Betanzos, FNP/BC

Individual provider Family Nurse Practitioner · NPI 1457767998

Mr. Mateo M Betanzos, FNP/BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2014, 12 years ago. Practices with Tj Siddiqui Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

1337 W 19th St
Chicago, IL 60608-3896
Phone: (312) 563-9517
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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 209011574 (IL)

Record details

NPI number1457767998
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP/BC
Sole proprietorYes
NPI enumeratedJuly 4, 2014
Last updated in NPPESJanuary 10, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tj Siddiqui Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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