Jelena Sundaralingam, FNP-BC

Key facts

NPI

1922500305

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

209016500 (IL)

Practice address

3295 N Arlington Heights Rd Ste 102
Arlington Heights, IL 60004-1588

Phone

(847) 392-3896

NPI assigned

Mar 1, 2018

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Amg Med SC Family Medicine Physician · Chicago, IL · NPI 1376735779
  NPD (past)
• Zinger Medical Offices SC Internal Medicine Physician · Lincolnwood, IL · NPI 1588840516
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2018.

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1922500305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD STE 102",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041588",
            "telephone_number": "847-392-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD STE 102",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041588",
            "telephone_number": "847-392-3896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S County Farm Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601874523",
            "country_code": "US",
            "telephone_number": "630-588-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDARALINGAM",
        "first_name": "JELENA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susanne K Woloson MD PHD SC

All providers in Arlington Heights, IL · Family Nurse Practitioner in Illinois