Individual provider Active NPI

Lindsey Elizabeth Tengerstrom, M.D.

  • Pediatrics Physician
  • Palos Heights, IL
National Provider Identifier
1972846152
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036146709 Issued in IL
Practice address
7110 West 127TH Street
Palos Heights, IL 60463-1571
Phone
(708) 923-6300
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 036146709 IL
Pediatrics Physician 208000000X 036146709 IL Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036146709 IL

Addresses

Primary practice location

7110 West 127TH Street
Palos Heights, IL 60463-1571

Mailing address

7110 West 127TH Street
Palos Heights, IL 60463-1571

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726003894 IL Practitioner - Hospice/Palliative CarePractitioner - Pediatric Medicine 6608177142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Pediatric Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rest Haven Illiana Christian Convalescent HomeGroup PAC ID 1052221470, 4 clinicians

Practice addresses (Care Compare)

14301 Independence Way
Homer Glen, IL 60491-7210
Phone (800) 509-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Health Services of Texas, P.a. Hospice and Palliative Medicine CurrentSince Jul 4, 2022 Accepting new patients
Rest Haven Illiana Christian Convalescent Home Hospice and Palliative Medicine CurrentSince Oct 29, 2023 Accepting new patients
Rest Haven Illiana Christian Convalescent Home Hospice and Palliative Medicine CurrentSince Oct 29, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
George Skarpathiotis, M.D., S.C. Pediatrics Past Accepting new patients

Locations

1340 S Damen Ave
Ste 200
Chicago, IL 60608
Phone (312) 997-7200

14301 Independence Way
Homer Glen, IL 60491
Phone (708) 331-0400

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

8525 183rd St
Ste M
Tinley Park, IL 60487
Phone (708) 781-4400

18670 Graphics Dr
Ste 106
Tinley Park, IL 60477

Interoperability endpoints

  • Direct secure messaging: ltengerstrom54135@direct.luhs.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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1972846152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 WEST 127TH STREET",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 WEST 127TH STREET",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631571",
            "telephone_number": "708-923-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENGERSTROM",
        "first_name": "LINDSEY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "IL",
            "license": "036146709",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036146709",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036146709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.