Danette Fadzl, MEDICAL BILLING

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

400129120602 Issued in OH

Practice address

1406 E 72ND St
Chicago, IL 60619-1510

Phone

(312) 539-9966

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Danette Fadzl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1356827877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 E 72ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191510",
            "telephone_number": "312-539-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E 72ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191510",
            "telephone_number": "312-539-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADZL",
        "first_name": "DANETTE",
        "credential": "MEDICAL BILLING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "400129120602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANETTE",
            "last_name": "FADZL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Riskat Fadonougbo, PMHNP
• Joan Olubunmi Fadonugbo-Kuton, APN
• Cassandra Rose Fadowole
• Olayinka Stephen Fadowole, PHARMD
• Colin Fadzen, MD PHD
• Patricia Faerber, PT, DPT
• Mariaelena J. Fagadore, CNP
• Brian J Fagan
• Eilis M Fagan, LCSW
• Elyse Fagan, CNS, IBCLC

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.