Individual provider Active NPI

Marjorie Craig, FNP

  • Family Nurse Practitioner
  • Tinley Park, IL
National Provider Identifier
1043755044
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015371 Issued in IL
Practice address
16650 Harlem Ave Ste 1
Tinley Park, IL 60477-1847
Phone
(708) 444-1512
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015371 IL Primary

Addresses

Primary practice location

16650 Harlem Ave Ste 1
Tinley Park, IL 60477-1847

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcraig242189@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170508000591 IL Practitioner - Nurse Practitioner 7113204835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Illinois LLCGroup PAC ID 4183529456, 114 clinicians

Practice addresses (Care Compare)

16650 Harlem Ave
Suite 1
Tinley Park, IL 60477-1847
Phone (708) 444-1512

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Jul 1, 2020 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

18636 Dixie Hwy
Homewood, IL 60430
Phone (708) 647-0571

3700 W 203rd St
Ste 310
Olympia Flds, IL 60461
Phone (708) 679-2066

3700 W 203rd St
Ste 103
Olympia Flds, IL 60461
Phone (708) 679-2130

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

16650 Harlem Ave
Ste 1
Tinley Park, IL 60477
Phone (708) 444-0484

Interoperability endpoints

  • Direct secure messaging: mcraig242189@direct.franciscanalliance.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1043755044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE STE 1",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-444-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "MARJORIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcraig242189@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16650 Harlem Ave Ste 1",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604771847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.