Individual provider Active NPI

Lauren Olszewski, APRN

  • Family Nurse Practitioner
  • Burbank, IL
National Provider Identifier
1316672470
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209024297 Issued in IL
Practice address
7786 S Cicero Ave
Burbank, IL 60459-1583
Phone
(708) 425-3085
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 209024297 IL Primary

Addresses

Primary practice location

7786 S Cicero Ave
Burbank, IL 60459-1583

Mailing address

6150 Joliet Rd
Countryside, IL 60525-3956
Phone (708) 485-2273

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
I20220831003126 IL Practitioner - Nurse Practitioner 8628452166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6150 Joliet Rd
Countryside, IL 60525-3956
Phone (708) 485-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209024297ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC Current Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Nov 1, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 22, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 22, 2022 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Nov 1, 2023 Accepting new patients

Locations

6195 W 115th St
Ste A
Alsip, IL 60803
Phone (312) 262-7002

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

7786 S Cicero Ave
Burbank, IL 60459
Phone (708) 425-3085

16906 Collection Ctr Dr
Chicago, IL 60693

6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 5

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1316672470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253956",
            "telephone_number": "708-485-2273",
            "fax_number": "708-352-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7786 S CICERO AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591583",
            "telephone_number": "708-425-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSZEWSKI",
        "first_name": "LAUREN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

Verify at the official NPI Registry.