Active NPI
Prism Health PLLC
- Family Nurse Practitioner
- Crystal Lake, IL
National Provider Identifier
1235084005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PRISM HEALTH PLLC
- Practice address
- 795 Eletson Dr
Crystal Lake, IL 60014-2812 - Phone
- (815) 571-7588
- Fax
- (815) 571-7589
- NPI assigned
- Feb 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tana Lombardo, APRN
- Title
- Managing Member
- Phone
- (630) 715-3088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
795 Eletson Dr
Crystal Lake, IL 60014-2812
Mailing address
795 Eletson Dr
Crystal Lake, IL 60014-2812
Phone (815) 571-7588
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Crystal Lake, IL
- NPI 1184320988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775174400000",
"number": "1235084005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 ELETSON DR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600142812",
"telephone_number": "815-571-7588",
"fax_number": "815-571-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 ELETSON DR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600142812",
"telephone_number": "815-571-7588",
"fax_number": "815-571-7589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISM HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-26",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A",
"authorized_official_last_name": "LOMBARDO",
"authorized_official_first_name": "TANA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "630-715-3088",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.