Active NPI
Theresa Lindsay Rose, D.O.
- Obstetrics & Gynecology Physician
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036145074
- Practice address
- 900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1688 - Phone
- (847) 535-7057
- Fax
- (847) 615-2260
- NPI assigned
- May 21, 2007
- Last updated
- Jul 23, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 125066048 | IL | |
| Women's Health Nurse Practitioner | 363LW0102X | ARNP9243415 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 036145074 | IL | Primary |
Addresses
Primary practice location
900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1688
Mailing address
900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1688
Phone (847) 535-7057
Other practice location 1
355 Ridge Ave
Presence St. Francis Hospital
Evanston, IL 60202
Phone (847) 316-6340
Other practice location 2
7380 N Lincoln Ave
Lincolnwood, IL 60712-1705
Phone (847) 568-7400
Other practice location 3
800 Austin St Ste 354
Evanston, IL 60202
Phone (847) 491-6890
Other names 1
- Theresa Lindsay Zaita
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 N Westmoreland Rd
Suite 225
Lake Forest, IL 60045-1694
Phone (847) 295-1300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125066048 | IL | MD | Obstetrics & Gynecology Physician |
| ARNP9243415 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
1723 Howard St
Evanston, IL 60202
Phone (224) 307-8550
900 N Westmoreland Rd
Ste 112
Lake Forest, IL 60045
Phone (847) 535-7057
900 N Westmoreland Rd
Ste 225
Lake Forest, IL 60045
Phone (847) 295-0433
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150
660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
Organizations & group practices 6
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.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Federally Qualified Health Center (FQHC)
- Arlington Heights, IL
- NPI 1487987459
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Lake Forest Hospital
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1174732770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N WESTMORELAND RD STE 112",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451688",
"telephone_number": "847-535-7057",
"fax_number": "847-615-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N WESTMORELAND RD STE 112",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451688",
"telephone_number": "847-535-7057",
"fax_number": "847-615-2260"
}
],
"practiceLocations": [
{
"address_1": "355 Ridge Ave",
"address_2": "Presence St. Francis Hospital",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "60202",
"country_code": "US",
"telephone_number": "847-316-6340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7380 N Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Lincolnwood",
"state": "IL",
"postal_code": "607121705",
"country_code": "US",
"telephone_number": "847-568-7400",
"fax_number": "847-568-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Austin St Ste 354",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "60202",
"country_code": "US",
"telephone_number": "847-491-6890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "THERESA",
"middle_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "125066048",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "ARNP9243415",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036145074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "ZAITA",
"middle_name": "LINDSAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.