Active NPI
Mastura Zalwango, DNP
- Nurse Practitioner
- Skokie, IL
National Provider Identifier
1235424565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.008743
- Practice address
- 5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462 - Phone
- (872) 600-5700
- Fax
- (855) 734-3355
- NPI assigned
- Jun 15, 2011
- Last updated
- Oct 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.008743 | IL | Primary |
Addresses
Primary practice location
5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462
Mailing address
8610 Prairie St
Morton Grove, IL 60053-2282
Phone (872) 600-5700
Other practice location 1
6315 W Raven St
Chicago, IL 60646-3615
Phone (872) 600-5700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | zalwangohealthwellness.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008743 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Care Physicians, Inc. | Past | Accepting new patients | |
| Covenant Holistic Healthcare Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633132800000",
"number": "1235424565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8610 PRAIRIE ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532282",
"telephone_number": "872-600-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 OLD ORCHARD RD STE 300",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774462",
"telephone_number": "872-600-5700",
"fax_number": "855-734-3355"
}
],
"practiceLocations": [
{
"address_1": "6315 W Raven St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606463615",
"country_code": "US",
"telephone_number": "872-600-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZALWANGO",
"first_name": "MASTURA",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2021-10-02",
"certification_date": "2021-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.008743",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "zalwangohealthwellness.com",
"affiliation": "N",
"endpointDescription": "practice web address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5250 Old Orchard Rd Ste 300",
"city": "Skokie",
"state": "IL",
"country_code": "US",
"postal_code": "600774462",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.