Healthcare Provider Details

I. General information

NPI: 1114796687
Provider Name (Legal Business Name): ALTAR HEALTHCARE GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2023
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10448 S PULASKI RD STE 6
OAK LAWN IL
60453-4895
US

IV. Provider business mailing address

10448 S PULASKI RD STE 6
OAK LAWN IL
60453-4895
US

V. Phone/Fax

Practice location:
  • Phone: 708-932-3260
  • Fax:
Mailing address:
  • Phone: 708-932-3260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARYBELL RAMIREZ
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 708-932-3260