Active NPI
Lauren Renee Manzara, APN-CNP
- Nurse Practitioner
- Roselle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209009062
- Practice address
- 580 Stafford Dr
Roselle, IL 60172-2749 - Phone
- (630) 935-0128
- NPI assigned
- Apr 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209009062 | IL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 209.009062 | IL |
Addresses
Primary practice location
580 Stafford Dr
Roselle, IL 60172-2749
Mailing address
580 Stafford Dr
Roselle, IL 60172-2749
Phone (630) 935-0128
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
Hospital & facility affiliations
- Residential Home Health
- Edward Hospital
- Swedish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209009062 | IL | MD | Nurse Practitioner |
| 209.009062 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Clinic/Center
- Elmhurst, IL
- NPI 1275963027
-
- Home Health Agency
- Naperville, IL
- NPI 1912930645
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- Home Health Agency
- Lisle, IL
- NPI 1336377365
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1235573247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 STAFFORD DR",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601722749",
"telephone_number": "630-935-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 STAFFORD DR",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601722749",
"telephone_number": "630-935-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZARA",
"first_name": "LAUREN",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "APN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-21",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209009062",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209.009062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roselle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.