Individual provider Active NPI

Jennifer Alyse Lodise, APRN

  • Family Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1134769797
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.021431 Issued in IL
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

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112000733 IL Practitioner - Nurse Practitioner 1658781125 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
878839TXMDSchool Registered Nurse
209.021431ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Jul 31, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.