Ann Pebelske, APN CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

209.013667 Issued in IL

Practice address

6432 Maxwell Dr
Woodridge, IL 60517-1329

Phone

(630) 969-6804

NPI assigned

Dec 28, 2015

Last updated

Dec 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1366807927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 MAXWELL DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171329",
            "telephone_number": "630-969-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6432 MAXWELL DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171329",
            "telephone_number": "630-969-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEBELSKE",
        "first_name": "ANN",
        "credential": "APN CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209.013667",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "IL",
            "license": "209.013667",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.170433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Patel, APRN
• Subhadra B Patel, PHARMACIST
• Umang S Patel, M.D
• Vijaykumar C Patel,, M.D
• Elizabeth A Paterson, ATC
• Pediatrics of Woodridge
• Perryton Dialysis LLC (Rutgers Park Dialysis)
• Evagelia Peterhansen, OTRL
• Rachel H Peterson, M.S.
• Taylor Marie Philipp, DPT

• Adult Health Clinical Nurse Specialist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Adult Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.