Active NPI
Therese Roche
- Family Nurse Practitioner
- New Lenox, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.006815
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00608770 | Other | IL | RR 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.006815 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Oncologists, LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Mobile Anesthesiologists Chicago LLC | Past | Accepting new patients | |
| Dupage Medical Group LTD | Past | Accepting new patients | |
| Gynecological Cancer Institute of Chicago, LLC | Past | Accepting new patients | |
| Express Urgent Care LLC | Past | 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.
-
- Medical Oncology Physician
- Oak Lawn, IL
- NPI 1225314362
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
-
- Family Medicine Physician
- Burr Ridge, IL
- NPI 1629692785
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Urgent Care Clinic/Center
- Chicago Ridge, IL
- NPI 1487134961
-
- Gynecologic Oncology Physician
- Oak Lawn, IL
- NPI 1114318474
-
- Anesthesiology Physician
- Rosemont, IL
- NPI 1396887774
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.