Individual provider Active NPI

Zofia Danuta Rusnak, FNP-C

  • Family Nurse Practitioner
  • Willowbrook, IL
National Provider Identifier
1154070134
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.024765 Issued in IL
Practice address
40 75TH St
Willowbrook, IL 60527-2325
Phone
(630) 581-5372
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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 209.024765 IL Primary

Addresses

Primary practice location

40 75TH St
Willowbrook, IL 60527-2325

Mailing address

7207 W 78TH St Apt 3a
Bridgeview, IL 60455-8123
Phone (708) 655-5784

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
I20220505002523 IL Practitioner - Nurse Practitioner 5496132797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians
Livestrong Medical PLLCGroup PAC ID 3476082850, 14 clinicians

Practice addresses (Care Compare)

219 W Chicago Ave
Chicago, IL 60654-5600
Phone (312) 878-1945

9019 Willow LN
Mokena, IL 60448-8374
Phone (708) 691-4890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024765ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livestrong Therapy LLC CurrentSince Sep 1, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 10, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 10, 2022 Accepting new patients
Livestrong Medical PLLC CurrentSince Apr 29, 2025 Accepting new patients
TLC Home Therapy, Inc. PastSince Oct 21, 2025 Accepting new patients

Locations

779 W Adams St
Chicago, IL 60661
Phone (312) 382-8308

219 W Chicago Ave
Chicago, IL 60654
Phone (312) 878-1945

15915 S Crystal Creek Dr
Homer Glen, IL 60491
Phone (708) 301-9596

15915 S Crystal Creek Dr
Ste H
Homer Glen, IL 60491
Phone (708) 400-8063

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1154070134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 W 78TH ST APT 3A",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604558123",
            "telephone_number": "708-655-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSNAK",
        "first_name": "ZOFIA",
        "middle_name": "DANUTA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.024765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.