Individual provider Active NPI

Lauren Wojtkowski, FNP-C

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1679358121
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027078 Issued in IL
Practice address
3033 W Jefferson St Ste 206
Joliet, IL 60435-5252
Phone
(815) 730-3304
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209027078 IL Primary

Addresses

Primary practice location

3033 W Jefferson St Ste 206
Joliet, IL 60435-5252

Mailing address

3033 W Jefferson St Ste 206
Joliet, IL 60435-5252
Phone (815) 730-3304

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
I20231205003504 IL Practitioner - Nurse Practitioner 3577912302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo-Med Clinic SCGroup PAC ID 4688969496, 2 clinicians

Practice addresses (Care Compare)

3033 W Jefferson St
Suite 206
Joliet, IL 60435-5252
Phone (815) 730-3304

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027078ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endo-Med Clinic SC CurrentSince Dec 26, 2023 Accepting new patients

Locations

3033 W Jefferson St
Ste 206
Joliet, IL 60435
Phone (815) 730-3304

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1679358121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST STE 206",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355252",
            "telephone_number": "815-730-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST STE 206",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355252",
            "telephone_number": "815-730-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTKOWSKI",
        "first_name": "LAUREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.