Active NPI
Jennifer Alyse Lodise, APRN
- Family Nurse Practitioner
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.021431
- Practice address
- 345 Madison St
Oak Park, IL 60302-4111 - Phone
- (866) 389-2727
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 878839 | TX | |
| Family Nurse Practitioner | 363LF0000X | 209.021431 | IL | Primary |
Addresses
Primary practice location
345 Madison St
Oak Park, IL 60302-4111
Mailing address
345 Madison St
Oak Park, IL 60302-4111
Phone (866) 389-2727
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Houston | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 878839 | TX | MD | School Registered Nurse |
| 209.021431 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Primary Care Illinois PLLC | Family | Current | Accepting new patients |
Locations
1165 N Clark St
Chicago, IL 60610
Phone (312) 280-8140
11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221
936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447
345 Madison St
Oak Park, IL 60302
Phone (708) 386-2157
2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450
8645 Woodward Ave
Woodridge, IL 60517
Phone (630) 910-2250
Interoperability endpoints
- alyse.lodise.1@3569.direct.athenahealth.com
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.
-
- Family Nurse Practitioner
- Mokena, IL
- NPI 1528875564
-
- Family Nurse Practitioner
- Mokena, IL
- NPI 1356485809
-
- Family Nurse Practitioner
- Mokena, IL
- NPI 1518512227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1134769797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MADISON ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024111",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 MADISON ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024111",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODISE",
"first_name": "JENNIFER",
"middle_name": "ALYSE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "TX",
"license": "878839",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.021431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Houston",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7101 Canal St",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770112797",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.