Active NPI
Donald John Hebel, MD
- Diagnostic Radiology Physician
- Grayslake, IL
National Provider Identifier
1124005756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036-093006
- Practice address
- 1275 E Belvidere Rd
Suite 200
Grayslake, IL 60030-2082 - Phone
- (847) 918-1462
- Fax
- (847) 968-4311
- NPI assigned
- Dec 23, 2005
- Last updated
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036-093006 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 44769 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 01059696A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 0101241060 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | MD00047515 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | 22665 | WV | |
| Diagnostic Radiology Physician | 2085R0202X | 35.091087 | OH |
Addresses
Primary practice location
1275 E Belvidere Rd
Suite 200
Grayslake, IL 60030-2082
Mailing address
1275 E Belvidere Rd
Suite 200
Grayslake, IL 60030-2082
Phone (847) 918-1462
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202926 | Other | IL | GROUP PTAN |
| 036093006 | Medicaid | IL | |
| 34395300 | Medicaid | WI | |
| 212545 | Other | IL | GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-093006 | IL | MD | Diagnostic Radiology Physician |
| 01059696A | IN | MD | Diagnostic Radiology Physician |
| 35.091087 | OH | MD | Diagnostic Radiology Physician |
| 0101241060 | VA | MD | Diagnostic Radiology Physician |
| MD00047515 | WA | MD | Diagnostic Radiology Physician |
| 44769 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital Inc. | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Global Medical Imaging, SC | Diagnostic Radiology | Past | Accepting new patients |
| City of Hope Medical Group of Illinois PLLC | Past | Accepting new patients | |
| Rockford Cardiology Associates, LTD | Past | Accepting new patients | |
| Kenosha Radiology Center LLC. | Past | Accepting new patients | |
| Amerirad Inc | Diagnostic Radiology | Past | Accepting new patients |
| Arlington Heights Radiology Center, LLC | Past | Accepting new patients | |
| Central Illinois Neuroradiology, LTD | Past | Accepting new patients | |
| Stat Anesthesia Specialists, LTD. | Past | Accepting new patients |
Interoperability endpoints
- dhebel@unionhealth.cernerdirect.com
- dhebel579333@direct.franciscanalliance.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1619975331
-
- Specialist
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- NPI 1851302699
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Specialist
- Bloomington, IL
- NPI 1881641371
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Diagnostic Radiology Physician
- Libertyville, IL
- NPI 1144217142
-
- Cardiovascular Disease Physician
- Rockford, IL
- NPI 1699775775
-
- Diagnostic Radiology Physician
- Morgantown, WV
- NPI 1790739985
-
- Radiology Clinic/Center
- Kenosha, WI
- NPI 1770540130
-
- Anesthesiology Physician
- Bremen, IN
- NPI 1992754089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1124005756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 E BELVIDERE RD",
"address_2": "SUITE 200",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302082",
"telephone_number": "847-918-1462",
"fax_number": "847-968-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 E BELVIDERE RD",
"address_2": "SUITE 200",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302082",
"telephone_number": "847-918-1462",
"fax_number": "847-968-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBEL",
"first_name": "DONALD",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-093006",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "44769",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01059696A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101241060",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00047515",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "22665",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.091087",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "202926",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093006",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34395300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "212545",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.