Active NPI
Nancy Mrozek, APN
- Family Medicine Physician
- Oak Forest, IL
National Provider Identifier
1871018580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 209.016016
- Practice address
- 15430 Lavergne Ave
Oak Forest, IL 60452-2346 - Phone
- (708) 979-4071
- NPI assigned
- Aug 3, 2017
- 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 Medicine Physician | 207Q00000X | 209.016016 | IL | Primary |
Addresses
Primary practice location
15430 Lavergne Ave
Oak Forest, IL 60452-2346
Mailing address
15430 Lavergne Ave
Oak Forest, IL 60452-2346
Phone (708) 979-4071
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.016016 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871018580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15430 LAVERGNE AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604522346",
"telephone_number": "708-979-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15430 LAVERGNE AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604522346",
"telephone_number": "708-979-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MROZEK",
"first_name": "NANCY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "209.016016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.