Individual provider Active NPI

Renata Maria Jankowska, NP

  • Family Nurse Practitioner
  • Niles, IL
National Provider Identifier
1861015448
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1035881 Issued in TX
Practice address
7900 N Milwaukee Ave
Niles, IL 60714-3159
Phone
(847) 595-1594
NPI assigned
May 18, 2020
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
209021246ILMDFamily Nurse Practitioner
1035881TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Feb 21, 2021 Accepting new patients
Synergenx Health - Katy LLC PastSince Nov 8, 2020 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.

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.

Verify at the official NPI Registry.