Individual provider Active NPI

Elena Oreshkina-Moroz, NP

  • Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1548159296
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.032612 Issued in IL
Practice address
4712 Laurel Ave
Glenview, IL 60025-1419
Phone
(847) 840-9630
NPI assigned
Jun 30, 2025
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 209.032612 IL Primary

Addresses

Primary practice location

4712 Laurel Ave
Glenview, IL 60025-1419

Mailing address

122 Sandhurst Rd
Mundelein, IL 60060-3259
Phone (847) 840-9630

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
I20250709004059 IL Practitioner - Nurse Practitioner 9436663598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cordial Medical Center, S.C.Group PAC ID 6901898873, 3 clinicians
Top Medical Consultants PCGroup PAC ID 8426449950, 13 clinicians

Practice addresses (Care Compare)

333 E Il Route 83
Suite 105
Mundelein, IL 60060-4278
Phone (847) 970-9922

4712 Laurel Ave
Glenview, IL 60025-1419
Phone (847) 943-9508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.032612ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cordial Medical Center, S.C. CurrentSince Jul 21, 2025 Accepting new patients
Top Medical Consultants PC CurrentSince Jun 1, 2025 Accepting new patients
Eric Chuang MD SC CurrentSince Jan 25, 2026 Accepting new patients

Locations

333 E State Route 83
Ste 105
Mundelein, IL 60060
Phone (847) 970-9922

Organizations & group practices 3

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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1548159296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SANDHURST RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603259",
            "telephone_number": "847-840-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 LAUREL AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251419",
            "telephone_number": "847-840-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORESHKINA-MOROZ",
        "first_name": "ELENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.032612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.