Individual provider Active NPI

Therese Roche

  • Family Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1740460286
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.006815 Issued in IL
Practice address
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone
(815) 300-1100
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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 209.006815 IL Primary

Addresses

Primary practice location

1900 Silver Cross Blvd
New Lenox, IL 60451-9509

Mailing address

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100

Other identifiers 1

IdentifierTypeStateIssuer
P00608770OtherILRR MEDICARE GROUP NUMBER

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
I20080213000369 IL Practitioner - Nurse Practitioner 0749363869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Oncologists LLCGroup PAC ID 2365606563, 43 clinicians

Practice addresses (Care Compare)

10604 Southwest Hwy
Suite 200
Chicago Ridge, IL 60415-1429
Phone (708) 424-9710

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.006815ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Oncologists, LLC CurrentSince Aug 4, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jul 1, 2025 Accepting new patients
Vpa PC CurrentSince Jul 1, 2025 Accepting new patients
Mobile Anesthesiologists Chicago LLC PastSince Aug 4, 2025 Accepting new patients
Dupage Medical Group LTD Past Accepting new patients
Gynecological Cancer Institute of Chicago, LLC PastSince Apr 1, 2015 Accepting new patients
Express Urgent Care LLC PastSince Sep 1, 2018 Accepting new patients

Locations

62647 Collection Ctr Dr
Chicago, IL 60693
Phone (708) 478-4302

10604 Southwest Hwy
Ste 109
Chicago Ridge, IL 60415
Phone (708) 422-3242

10604 Southwest Hwy
Ste 200
Chicago Ridge, IL 60415
Phone (708) 634-4644

3825 Highland Ave
Ste 307
Downers Grove, IL 60515
Phone (708) 422-3242

3825 Highland Ave
Ste 307
Downers Grove, IL 60515
Phone (708) 422-3242

17850 Kedzie Ave
Ste 150
Hazel Crest, IL 60429

17850 Kedzie Ave
Ste 1500
Hazel Crest, IL 60429
Phone (708) 799-7780

333 Madison St
Ste Cc
Joliet, IL 60435
Phone (815) 773-7439

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

333 Madison St
Ste CC360
Joliet, IL 60435
Phone (815) 773-7732

19060 Everett Blvd
Unit 112
Mokena, IL 60448
Phone (708) 346-4040

1890 Silver Cross Blvd
Ste 345
New Lenox, IL 60451
Phone (815) 462-9300

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

6700 W 95th St
Ste 330
Oak Lawn, IL 60453
Phone (708) 422-3242

4301 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-5500

4440 W 95th St
Ste 31W
Oak Lawn, IL 60453
Phone (708) 684-5475

82 Orland Square Dr
Orland Park, IL 60462
Phone (224) 273-3590

Organizations & group practices 8

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 2

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1740460286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "THERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.006815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "P00608770",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.