Individual provider Active NPI

Katleen Tiongson, APN

  • Nurse Practitioner
  • Bolingbrook, IL
National Provider Identifier
1538804364
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209025188 Issued in IL
Practice address
396 Remington Blvd Ste 140
Bolingbrook, IL 60440-4311
Phone
(630) 495-9356
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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 209025188 IL Primary

Addresses

Primary practice location

396 Remington Blvd Ste 140
Bolingbrook, IL 60440-4311

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

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
I20220608002370 IL Practitioner - Nurse Practitioner 4688052350 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (888) 964-6681

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Medical Services Southeast LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Value Based Long Term Care H PC CurrentSince Oct 14, 2025 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Paragon Clinical LLC Nurse Practitioner CurrentSince Oct 15, 2023 Accepting new patients
HDC Care Solutions, LLC Nurse Practitioner CurrentSince Aug 12, 2024 Accepting new patients
Paragon Clinical Midwest, LLC Nurse Practitioner Past Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

745 McClintock Dr
Ste 360
Burr Ridge, IL 60527
Phone (630) 506-1245

332 S Michigan Ave
Ste 800
Chicago, IL 60604

332 S Michigan Ave
Fl 4
Chicago, IL 60604

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

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

300 Waukegan Rd
Deerfield, IL 60015
Phone (847) 580-8287

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

Organizations & group practices 8

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1538804364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD STE 140",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404311",
            "telephone_number": "630-495-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIONGSON",
        "first_name": "KATLEEN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.