Individual provider Active NPI

Cynthia Lynn Rusnak

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1417567546
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277003363 Issued in IL
Practice address
10735 S Cicero Ave Ste 100
Oak Lawn, IL 60453-6210
Phone
(708) 636-2211
Fax
(708) 636-5552
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209021605 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209021605 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277003363 IL Primary

Addresses

Primary practice location

10735 S Cicero Ave Ste 100
Oak Lawn, IL 60453-6210

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

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
I20201029000896 IL Practitioner - Nurse Practitioner 9234549452 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209021605ILMDNurse Practitioner
277003363ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Gokhale MD SC CurrentSince Feb 17, 2021 Accepting new patients
Workit Health Mi PLLC CurrentSince Feb 15, 2022 Accepting new patients
Synergy Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jan 14, 2026 Accepting new patients
Workit Health Mi PLLC CurrentSince Feb 15, 2022 Accepting new patients

Locations

1280 Iroquois Ave
Ste 402
Naperville, IL 60563
Phone (872) 255-0357

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

10735 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (708) 581-5866

10522 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 424-7106

10522 S Cicero Ave
Ste 2D
Oak Lawn, IL 60453
Phone (708) 636-2211

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1417567546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536210",
            "telephone_number": "708-636-2211",
            "fax_number": "708-636-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSNAK",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021605",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209021605",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.