Individual provider Active NPI

Renata Jene Sobey, CRNA

  • Certified Registered Nurse Anesthetist
  • Melrose Park, IL
National Provider Identifier
1063444891
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209004515 Issued in IL
Practice address
701 West North Avenue
Melrose Park, IL 60160-1612
Phone
(708) 681-3202
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041207261 IL
Certified Registered Nurse Anesthetist 367500000X 209004515 IL Primary

Addresses

Primary practice location

701 West North Avenue
Melrose Park, IL 60160-1612

Mailing address

1121 Lake Cook Road
Suite M
Deerfield, IL 60015-5234
Phone (847) 945-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000159 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507886348 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Loyola University of Chicago, Stritch School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arete Anesthesia LLCGroup PAC ID 6709161961, 11 clinicians

Practice addresses (Care Compare)

2750 S River Rd
Des Plaines, IL 60018-4103
Phone (847) 470-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gottlieb Midwest Anesthesiologists, LLC CurrentSince Oct 2, 2003 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2008 Accepting new patients
Arete Anesthesia LLC CurrentSince Jul 1, 2017 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jul 15, 2012 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2008 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince May 13, 2017 Accepting new patients
Chicago Area Partners in Anesthesia LLC Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

9145 Collection Ctr Dr
Chicago, IL 60693

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

1121 Lake Cook Rd
Ste M
Deerfield, IL 60015
Phone (847) 945-4550

2750 S River Rd
Des Plaines, IL 60018
Phone (708) 273-3052

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

19110 Darvin Dr
Mokena, IL 60448
Phone (708) 478-8889

9000 Waukegan Rd
#3T
Morton Grove, IL 60053
Phone (847) 213-2700

6311 W 95th St
Oak Lawn, IL 60453
Phone (708) 423-2258

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

530 N Cass Ave
Westmont, IL 60559
Phone (630) 794-8688

Organizations & group practices 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1063444891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 LAKE COOK ROAD",
            "address_2": "SUITE M",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155234",
            "telephone_number": "847-945-4550",
            "fax_number": "847-948-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WEST NORTH AVENUE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601612",
            "telephone_number": "708-681-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEY",
        "first_name": "RENATA",
        "middle_name": "JENE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041207261",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209004515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.