NPIMap

Individual provider Active NPI

Rebecca Lambo

  • Nurse Practitioner
  • Wauconda, IL
National Provider Identifier
1144626995
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.012161 Issued in IL
Practice address
431 W Liberty St
Wauconda, IL 60084-2452
Phone
(847) 526-2151
Fax
(847) 526-2017
NPI assigned
Nov 6, 2014
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.012161 IL Primary

Addresses

Primary practice location

431 W Liberty St
Wauconda, IL 60084-2452

Mailing address

PO Box 6037
Wauconda, IL 60084-6037
Phone (847) 526-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141215001516 IL Practitioner - Nurse Practitioner 8820310204 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Specialists of Mount Prospect S CGroup PAC ID 8224166566, 16 clinicians

Practice addresses (Care Compare)

3801 Running Brook Farm Blvd
Johnsburg, IL 60051-5425
Phone (815) 344-7741

650 E Terra Cotta Ave
Suite 103
Crystal Lake, IL 60014-3654
Phone (630) 965-7225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.012161ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Home Therapy, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Family Medicine Specialists, S.C. CurrentSince Nov 5, 2014 Accepting new patients
Family Medicine Specialists of Mount Prospect S C CurrentSince Nov 5, 2014 Accepting new patients
Family Medicine Specialists of Round Lake Incorporated S C CurrentSince Nov 5, 2014 Accepting new patients
Alternative and Complementary Therapies for Wellness, LTD CurrentSince May 10, 2024 Accepting new patients

Locations

425 Lake St
Antioch, IL 60002
Phone (244) 538-9736

650 E Terra Cotta Ave
Ste 103
Crystal Lake, IL 60014
Phone (630) 965-7225

2253 N Richmond Rd
McHenry, IL 60051
Phone (847) 526-2151

3801 Running Brook Farm Blvd
McHenry, IL 60051
Phone (815) 344-7741

9700 N Main St
Richmond, IL 60071
Phone (815) 678-4181

2680 State Route 83
Round Lake Beach, IL 60073
Phone (224) 372-7780

431 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151

604 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151

909 Belvidere Rd
Waukegan, IL 60085
Phone (847) 244-4995

4000 Il Route 173
Zion, IL 60099
Phone (847) 731-8172

Interoperability endpoints

  • Direct secure messaging: rebecca.lambo@fms.eclinicaldirectplus.com

Organizations & group practices 5

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

Hospital & facility affiliations 5

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1144626995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6037",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600846037",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600842452",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBO",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.012161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

Verify at the official NPI Registry.