Marie Ann Korallus, RN, MSN, APRN,FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.018644 Issued in IL

Practice address

6170 Joliet Rd Ste 1
Countryside, IL 60525-3971

Phone

(708) 352-0330

Fax

(708) 352-8905

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marie Ann Korallus Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

R and W Medical LLCGroup PAC ID 6608872569, 4 clinicians

Integrity Medical and Wounds Group Il RLLPGroup PAC ID 4385170612, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Integrity Medical and Wounds Group Il RLLP

  • Specialist
  • Chicago, IL
  • NPI 1689405078

  Family

  Medicare reassignment Care Compare group NPD
• R & W Medical LLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1538179841
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1669927893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 JOLIET RD STE 1",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253971",
            "telephone_number": "708-352-0330",
            "fax_number": "708-352-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 JOLIET RD STE 1",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253971",
            "telephone_number": "708-352-0330",
            "fax_number": "708-352-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORALLUS",
        "first_name": "MARIE ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2022-10-06",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "KORALLUS",
            "middle_name": "ANN",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paige Kessler
• Shannon King
• Rebecca Lynn Kinst, LPC, NCC
• Edward J Klutcharch, PSY.D.
• Richard Alan Kohn, DDS MS
• Ashok Kothari, DDS, MDS
• Kryken International Inc
• Abigail Charlotte Lafont
• Lagrange Medical Healthcare, LTD
• Lagrange Perio LLC

• Family Nurse Practitioner in Countryside, IL
• Providers in Countryside, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.