Healthcare Provider Details

I. General information

NPI: 1922943216
Provider Name (Legal Business Name): LAUREN BAFFO MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 W 177TH ST STE 3E
HAZEL CREST IL
60429-2196
US

IV. Provider business mailing address

8713 GLENBERRY LN
TINLEY PARK IL
60487-7091
US

V. Phone/Fax

Practice location:
  • Phone: 708-798-4500
  • Fax:
Mailing address:
  • Phone: 815-531-5069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.034490
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: