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

Serena Ghazali, APN-CNP

Individual provider Primary Care Nurse Practitioner · NPI 1790476083

Serena Ghazali, APN-CNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2652 W Ogden Ave
Chicago, IL 60608-1617
Phone: (773) 542-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 S York St Ste 2000, Elmhurst, IL 60126-5634 — (331) 221-9004

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209027092 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209027092 (IL)

Record details

NPI number1790476083
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 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 Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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