Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tania Mikaitis-Rossi, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1104873140

Tania Mikaitis-Rossi, NURSEPRACTITIONER is a Nurse Practitioner in Chicago, Illinois. Qualified in 2004, 22 years ago. Practices with Vadim Edelstein MD Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2006
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Practice location Address checks out

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone: (224) 508-0382
Fax: (888) 255-4358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209005514 (IL)

Record details

NPI number1104873140
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 27, 2006
Last updated in NPPESFebruary 2, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Vadim Edelstein Md Ltd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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