Lidia Maria Andruszyn, DNP, FPA APRN, CPC
Individual provider Active NPI Gerontology Nurse Practitioner · Chicago, IL
NPI 1457324311 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1457324311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 277000162 (IL)
- Practice address
- 6348 N Milwaukee Ave # 370
Chicago, IL 60646-3728 - Phone
- (847) 507-1548
- Fax
- (773) 792-0946
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 2, 2022 through Sep 2, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Visiting Physicians LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 277000162 | IL | Yes |
Addresses
Primary practice location
6348 N Milwaukee Ave # 370
Chicago, IL 60646-3728
Mailing address
6348 N Milwaukee Ave # 370
Chicago, IL 60646-3728
Phone (847) 507-1548
Other providers in Chicago, IL
- Victoria Andros
- Lina Andrulis
- Kevin Michael Andrus
- Mary F. Andrus
- Lyubov Andrushkiv
- Dari Andruzzi
- Alicia Andry
- Katelyn Marie Andrysiak-Begert
- Andrzej Gacek Medical , LLC
- Andrzej P. Indyk, M.D.S.C.
All providers in Chicago, IL · Gerontology Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.