Individual provider Active NPI

Karolina Lewandowska, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1174803696
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009005041371620 Issued in IL
Practice address
5219 N Ludlam Ave
Chicago, IL 60630-1423
Phone
(773) 791-2752
NPI assigned
Aug 29, 2011
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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 209009005041371620 IL Primary

Addresses

Primary practice location

5219 N Ludlam Ave
Chicago, IL 60630-1423

Mailing address

5219 N Ludlam Ave
Chicago, IL 60630-1423
Phone (773) 791-2752

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
I20140519001549 IL Practitioner - Nurse Practitioner 0143443291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakton Health Center SCGroup PAC ID 3779628482, 5 clinicians

Practice addresses (Care Compare)

4856 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

4860 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209009005041371620ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakton Health Center SC CurrentSince Jul 25, 2015 Accepting new patients

Locations

4860 Oakton St
Skokie, IL 60077
Phone (847) 215-8666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJBCA/Endpoint/AJJBCA

Organizations & group practices 1

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 4

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1174803696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 N LUDLAM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301423",
            "telephone_number": "773-791-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 N LUDLAM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301423",
            "telephone_number": "773-791-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKA",
        "first_name": "KAROLINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009005041371620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.