Individual provider Active NPI

Adele Luci Danny, D.O.

  • Family Medicine Physician
  • Sandwich, IL
National Provider Identifier
1316070931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
142 Indian Springs Dr
Medicine Shoppe Pharmacy Corner Care Clinic
Sandwich, IL 60548-1902
Phone
(815) 786-8696
NPI assigned
Mar 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

142 Indian Springs Dr
Medicine Shoppe Pharmacy Corner Care Clinic
Sandwich, IL 60548-1902

Mailing address

PO Box 7675
Gurnee, IL 60031-7002
Phone (847) 404-8729

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-103073ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindgent Healthcare Clinics, LLC Past Accepting new patients

Organizations & group practices 1

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316070931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7675",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600317002",
            "telephone_number": "847-404-8729",
            "fax_number": "847-549-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 INDIAN SPRINGS DR",
            "address_2": "MEDICINE SHOPPE PHARMACY CORNER CARE CLINIC",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481902",
            "telephone_number": "815-786-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNY",
        "first_name": "ADELE",
        "middle_name": "LUCI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.