Individual provider Active NPI

Theresa Malinowski, APRN

  • Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1255112496
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209028424 Issued in IL
Practice address
14400 John Humphrey Dr Ste 1E
Orland Park, IL 60462-2897
Phone
(708) 671-1500
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209028424 IL Primary

Addresses

Primary practice location

14400 John Humphrey Dr Ste 1E
Orland Park, IL 60462-2897

Mailing address

16602 Parkview Ave
Tinley Park, IL 60477-1413
Phone (708) 372-2718

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
I20231120002108 IL Practitioner - Nurse Practitioner 2860840444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maria Lentzou MD SCGroup PAC ID 1658324090, 8 clinicians

Practice addresses (Care Compare)

12050 S Harlem Ave Unit a
Palos Heights, IL 60463-1141
Phone (708) 671-1500

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209028424ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Lentzou MD SC CurrentSince Nov 6, 2023 Accepting new patients

Locations

9401 S Pulaski Rd
Ste 101
Evergreen Pk, IL 60805
Phone (708) 422-3737

14400 John Humphrey Dr
Ste 1E
Orland Park, IL 60462
Phone (708) 671-1500

16535 106th Ct
Ste A3
Orland Park, IL 60467
Phone (708) 671-1500

12050 S Harlem Ave
Ste A
Palos Heights, IL 60463
Phone (708) 671-1500

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1255112496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16602 PARKVIEW AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771413",
            "telephone_number": "708-372-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 JOHN HUMPHREY DR STE 1E",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622897",
            "telephone_number": "708-671-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOWSKI",
        "first_name": "THERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209028424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.