Active NPI
Karolina Valaitis, NP
- Nurse Practitioner
- Oakbrook Terrace, IL
National Provider Identifier
1619732781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209015267
- Practice address
- 1S376 Summit Ave Ste 2C
Oakbrook Terrace, IL 60181-3961 - Phone
- (708) 307-3655
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209015267 | IL | Primary |
Addresses
Primary practice location
1S376 Summit Ave Ste 2C
Oakbrook Terrace, IL 60181-3961
Mailing address
38 Long Cove Dr
Lemont, IL 60439-7730
Phone (708) 566-7515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015267 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1619732781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 LONG COVE DR",
"city": "LEMONT",
"state": "IL",
"postal_code": "604397730",
"telephone_number": "708-566-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1S376 SUMMIT AVE STE 2C",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813961",
"telephone_number": "708-307-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALAITIS",
"first_name": "KAROLINA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209015267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.