Individual provider Active NPI

Marlene Tang, APRN

  • Nurse Practitioner
  • Bloomingdale, IL
National Provider Identifier
1942401294
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277.000227 Issued in IL
Practice address
132 W Lake St Unit 15
Bloomingdale, IL 60108-1020
Phone
(847) 410-9018
Fax
(941) 200-3938
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 277000227 IL
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 277000227 IL
Nurse Practitioner 363L00000X 277.000227 IL Primary

Addresses

Primary practice location

132 W Lake St Unit 15
Bloomingdale, IL 60108-1020

Mailing address

132 W Lake St Unit 15
Bloomingdale, IL 60108-1020
Phone (847) 410-9018

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mbalisi205475@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20090526000435 IL Practitioner - Nurse Practitioner 2668521576 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.000227ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baal Perazim Wellness and Health Services PC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Balance & Wellbeing, LLC Multi-Specialty CurrentSince Nov 3, 2019 Accepting new patients
Mindful Intentions,LLC Psychiatric/Mental Health CurrentSince Jan 17, 2022 Accepting new patients
Baal Perazim Wellness, Inc Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Hashemi Medical Group S C Multi-Specialty PastSince Mar 26, 2007 Accepting new patients

Locations

132 W Lake St
#15
Bloomingdale, IL 60108
Phone (847) 410-9018

2835 N Sheffield Ave
Ste 500
Chicago, IL 60657
Phone (773) 525-6955

3416 S Halsted St
Chicago, IL 60608
Phone (773) 451-9444

1051 Perimeter Dr
Ste 1100
Schaumburg, IL 60173
Phone (360) 903-1829

Interoperability endpoints

  • Direct secure messaging: mbalisi205475@direct.myadvocateaurora.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1942401294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W LAKE ST UNIT 15",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081020",
            "telephone_number": "847-410-9018",
            "fax_number": "941-200-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W LAKE ST UNIT 15",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081020",
            "telephone_number": "847-410-9018",
            "fax_number": "941-200-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000227",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000227",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277.000227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbalisi205475@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5500 County Farm Rd",
            "city": "Hanover Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601335104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5500 County Farm Rd",
            "city": "Hanover Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601335104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.