Individual provider Active NPI

Emily Ann Dobrez, FNP-BC, BSN, RN

  • Family Nurse Practitioner
  • Western Springs, IL
National Provider Identifier
1265916415
Registry record updated Sep 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017814 Issued in IL
Practice address
4631 Clausen Ave
Western Springs, IL 60558-1641
Phone
(507) 399-1382
NPI assigned
Sep 23, 2018
Last updated
Sep 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2018

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 041.402590 IL
Family Nurse Practitioner 363LF0000X 209.017814 IL Primary

Addresses

Primary practice location

4631 Clausen Ave
Western Springs, IL 60558-1641

Mailing address

4631 Clausen Ave
Western Springs, IL 60558-1641
Phone (507) 399-1382

Other names 1

  • Emily Ann Dobrez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.402590ILMDRegistered Nurse
209.017814ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Feb 1, 2019 Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 1, 2019 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

Interoperability endpoints

  • Direct secure messaging: estaleyrn102029@uchospital.direct-ci.com

Organizations & group practices 2

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": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537660800000",
    "number": "1265916415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 CLAUSEN AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581641",
            "telephone_number": "507-399-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 CLAUSEN AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581641",
            "telephone_number": "507-399-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBREZ",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "FNP-BC, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2018-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.402590",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "DOBREZ",
            "middle_name": "ANN",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Western Springs, IL

Sources for this page

Verify at the official NPI Registry.