Individual provider Active NPI

Theresa E Towle, DNP, APRN-NP

  • Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1639486137
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277-000054 Issued in IL
Practice address
19250 Everett LN Ste 201
Mokena, IL 60448-8964
Phone
(708) 729-5900
Fax
(800) 396-1601
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8085 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277-000054 IL
Family Nurse Practitioner 363LF0000X 277-000054 IL
Nurse Practitioner 363L00000X 277-000054 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8085 AZ

Addresses

Primary practice location

19250 Everett LN Ste 201
Mokena, IL 60448-8964

Mailing address

19934 Wolf Rd Unit 1036
Mokena, IL 60448-2144
Phone (708) 729-5900

Other practice location 1

1725 S Naperville Rd Ste 206
Wheaton, IL 60189-5855
Phone (630) 653-6441

Other practice location 2

70 N Payne Pl Ste 6
Sedona, AZ 86336-4536
Phone (480) 442-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101223000043 IL Practitioner - Nurse Practitioner 0648468207 Reassigns benefits to 1 organization
I20151209000511 TX Practitioner - Nurse Practitioner 0648468207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Clinical ServicesGroup PAC ID 9739153347, 15 clinicians

Practice addresses (Care Compare)

1725 S Naperville Rd
Suite 206
Wheaton, IL 60189-5855
Phone (630) 653-6441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277-000054ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Clinical Services CurrentSince Mar 1, 2020 Accepting new patients
Balance Health PLLC Nurse Practitioner CurrentSince Jun 30, 2024 Accepting new patients
DHHS IHS Phoenix CurrentSince Nov 2, 2015 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Irene Benn Medical Center CurrentSince Apr 26, 2016 Accepting new patients
DHHS IHS Phoenix Area Past Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

70 N Payne Pl
Ste 6
Sedona, AZ 86336
Phone (928) 202-6030

19250 Everett Ln
Ste 201
Mokena, IL 60448
Phone (708) 729-5900

19934 Wolf Rd
Unit 1036
Mokena, IL 60448

18700 Wolf Rd
Ste 211
Mokena, IL 60448
Phone (708) 478-4400

1725 S Naperville Rd
Ste 2
Wheaton, IL 60189

1725 S Naperville Rd
Ste 206
Wheaton, IL 60189
Phone (630) 653-6441

Organizations & group practices 6

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": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1639486137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19934 WOLF RD UNIT 1036",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482144",
            "telephone_number": "708-729-5900",
            "fax_number": "800-396-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 EVERETT LN STE 201",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488964",
            "telephone_number": "708-729-5900",
            "fax_number": "800-396-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 S Naperville Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601895855",
            "country_code": "US",
            "telephone_number": "630-653-6441",
            "fax_number": "630-653-8409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Payne Pl Ste 6",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863364536",
            "country_code": "US",
            "telephone_number": "480-442-2050",
            "fax_number": "800-396-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWLE",
        "first_name": "THERESA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8085",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277-000054",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277-000054",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277-000054",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.