Evarisa Maloku, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209028954 Issued in IL

Practice address

1217 Wayne Dr
Des Plaines, IL 60018-1415

Phone

(773) 968-6939

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1821865148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WAYNE DR",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181415",
            "telephone_number": "773-968-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WAYNE DR",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181415",
            "telephone_number": "773-968-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOKU",
        "first_name": "EVARISA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041453484",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209028954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansour Vincent Makhlouf, MD
• Veronica Makos
• Elizabeth Makowski, LCSW
• Michelle O. Maliwat, DPT
• Alexis Mall, LCSW
• Rani Mammen
• Lisa Mandl, LCPC, NCC, CCTP
• Holly Eve Mandziara, PT
• Mani N Subramanian MD SC
• Marisha Mani

• Nurse Practitioner in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.