Healthcare Provider Details

I. General information

NPI: 1457263675
Provider Name (Legal Business Name): JEANNY OROPESA DANIEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 HIGHLAND AVE
DOWNERS GROVE IL
60515-1552
US

IV. Provider business mailing address

553 SHELLY CT APT A
WHEELING IL
60090-6118
US

V. Phone/Fax

Practice location:
  • Phone: 630-873-8889
  • Fax:
Mailing address:
  • Phone: 773-818-8041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.036624
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: