Individual provider Active NPI

Alaine Gorospe Tenedor, NP

  • Nurse Practitioner
  • Olympia Fields, IL
National Provider Identifier
1891461109
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209022614 Issued in IL
Practice address
3302 Vollmer Rd
Olympia Fields, IL 60461-1179
Phone
(708) 898-0811
Fax
(708) 898-1839
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 209022614 IL Primary

Addresses

Primary practice location

3302 Vollmer Rd
Olympia Fields, IL 60461-1179

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824001572 IL Practitioner - Nurse Practitioner 8022367242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Center Olympia Fields LLCGroup PAC ID 2163640533, 7 clinicians

Practice addresses (Care Compare)

3302 Vollmer Rd
Olympia Fields, IL 60461-1179
Phone (708) 898-0811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209022614ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Germane Nephrology Associates Multi-Specialty CurrentSince Jul 11, 2023 Accepting new patients
Germane Nephrology Associates CurrentSince Jul 11, 2023 Accepting new patients
Kidney Care Center Olympia Fields LLC Multi-Specialty CurrentSince Mar 4, 2025 Accepting new patients

Locations

812 Campus Dr
Joliet, IL 60435
Phone (815) 741-3825

662 Cedar Crossings Dr
Ste B
New Lenox, IL 60451

3302 Vollmer Rd
Olympia Flds, IL 60461
Phone (708) 864-2006

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1891461109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171",
            "fax_number": "815-435-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 VOLLMER RD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611179",
            "telephone_number": "708-898-0811",
            "fax_number": "708-898-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENEDOR",
        "first_name": "ALAINE",
        "middle_name": "GOROSPE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209022614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.