Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ron Medina, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1407560287

Ron Medina, FNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Cardiorenal Therapeutics of Illinois PLLC, a 32-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

5140 N California Ave
Chicago, IL 60625-3645
Phone: (773) 878-8200
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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 209.026387 (IL)

Record details

NPI number1407560287
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJanuary 6, 2023
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cardiorenal Therapeutics Of Illinois Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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