Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariangeline Gonzalez Ortiz

Individual provider Family Medicine Physician · NPI 1558000752

Mariangeline Gonzalez Ortiz is a Family Practice in Tinley Park, Illinois. Qualified in 2018, 8 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

17333 La Grange Rd Ste 100
Tinley Park, IL 60487-7510
Phone: (779) 334-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036172905 (IL)

Record details

NPI number1558000752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Tinley Park