Individual provider Active NPI

Donald John Hebel, MD

  • Diagnostic Radiology Physician
  • Grayslake, IL
National Provider Identifier
1124005756
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-093006 Issued in IL
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202926OtherILGROUP PTAN
036093006MedicaidIL
34395300MedicaidWI
212545OtherILGROUP 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

LicenseStateTypeSpecialty
036-093006ILMDDiagnostic Radiology Physician
01059696AINMDDiagnostic Radiology Physician
35.091087OHMDDiagnostic Radiology Physician
0101241060VAMDDiagnostic Radiology Physician
MD00047515WAMDDiagnostic Radiology Physician
44769WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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. PastSince Jul 1, 2015 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

  • Direct secure messaging: dhebel@unionhealth.cernerdirect.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.