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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EZRA OTTO FNP-BC
NPI 1164354320
Nurse Practitioner - Family in Chicago, IL

Active since June 02, 2026
2750 W NORTH AVE, CHICAGO, IL 60647(312) 666-3494 Get Directions Write a Review

NPPES record added: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ezra Otto Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZRA OTTO FNP-BC (NPI 1164354320) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.035993) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1164354320
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEZRA OTTOCredential: FNP-BC
Location Address2750 W NORTH AVEChicago, IL 60647-5247
Mailing Address2750 W North AveChicago, IL 60647-5247
Phone(312) 666-3494
Sole ProprietorNo
Enumeration DateJune 2, 2026
Last NPPES UpdateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
✔ NPI 1164354320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.035993
2750 W NORTH AVE, Chicago, IL 60647
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILVIA DIAZ LCSW
Social Worker (Clinical)
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
NIDA BAJWA
Family Medicine
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
DR. PREIYAA GOPINATH M.D.
Internal Medicine
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
CARLA MAYELA VILLARREAL
Family Medicine
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
TOBIAS HOLDEN
Student in an Organized Health Care Education/Training Program
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
AMARPREET EVEREST
Student in an Organized Health Care Education/Training Program
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494
LYNNE MARIE CLAPMAN ANP
Nurse Practitioner (Family)
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (219) 775-0646
HAYLEY THEA SPARKS MD
Pediatrics
2750 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 666-3494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezra Otto's NPI number?

The NPI number for Ezra Otto is 1164354320. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Ezra Otto located?

Ezra Otto practices at 2750 W North Ave, Chicago, IL 60647. The listed phone number is (312) 666-3494.

What is Ezra Otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ezra Otto was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.