Individual provider Active NPI

Lila Macalinga Rivera

  • Adult Health Nurse Practitioner
  • Oakbrook Terrace, IL
National Provider Identifier
1518506625
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209020144 Issued in IL
Practice address
17W335 16TH St
Oakbrook Terrace, IL 60181-4030
Phone
(773) 226-4272
NPI assigned
Jan 6, 2020
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209020144 IL Primary

Addresses

Primary practice location

17W335 16TH St
Oakbrook Terrace, IL 60181-4030

Mailing address

17W335 16TH St
Oakbrook Terrace, IL 60181-4030
Phone (773) 226-4272

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
I20200420002600 IL Practitioner - Nurse Practitioner 6800226564 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020144ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince May 1, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 29, 2023 Accepting new patients

Locations

8100 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 594-5440

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

701 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 681-3200

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1518506625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W335 16TH ST",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814030",
            "telephone_number": "773-226-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W335 16TH ST",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814030",
            "telephone_number": "773-226-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LILA",
        "middle_name": "MACALINGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209020144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.