Active NPI
Renata Maria Jankowska, NP
- Family Nurse Practitioner
- Niles, IL
National Provider Identifier
1861015448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1035881
- Practice address
- 7900 N Milwaukee Ave
Niles, IL 60714-3159 - Phone
- (847) 595-1594
- NPI assigned
- May 18, 2020
- Last updated
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209021246 | IL | |
| Family Nurse Practitioner | 363LF0000X | 1035881 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 209021246 | IL |
Addresses
Primary practice location
7900 N Milwaukee Ave
Niles, IL 60714-3159
Mailing address
4131 N Yale Ave
Arlington HTS, IL 60004-7924
Phone (224) 381-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021246 | IL | MD | Family Nurse Practitioner |
| 1035881 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Illinois Six Medical Group, PLLC | Single Specialty | Past | Accepting new patients |
| Synergenx Health - Burr Ridge LLC | Past | Accepting new patients | |
| Synergenx Health - Sugarland LLC | Past | Accepting new patients | |
| Midwest Eight Medical Group, PLLC | Single Specialty | Past | Accepting new patients |
| Synergenx Health - Spring Houston LLC | Past | Accepting new patients | |
| Synergenx Health - Katy LLC | Past | Accepting new patients | |
| Synergenx Health - Vintage Park LLC | Past | Accepting new patients | |
| Southwest Texas Two Medical Group, PLLC | Single Specialty | Past | Accepting new patients |
| Synergenx Physician Services PLLC | Past | Accepting new patients |
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Burr Ridge, IL
- NPI 1396270674
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1477122349
Single Specialty
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1295493047
Single Specialty
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1659950475
Single Specialty
-
- Primary Care Clinic/Center
- Katy, TX
- NPI 1558897496
-
- Primary Care Clinic/Center
- Spring, TX
- NPI 1538767900
-
- Primary Care Clinic/Center
- Sugar Land, TX
- NPI 1407380264
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1649703844
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1720512429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1861015448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 N YALE AVE",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600047924",
"telephone_number": "224-381-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 N MILWAUKEE AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607143159",
"telephone_number": "847-595-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKOWSKA",
"first_name": "RENATA",
"middle_name": "MARIA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209021246",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1035881",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "209021246",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.