Individual provider Active NPI

Sheila Leen, APN-BC

  • Adult Health Nurse Practitioner
  • Schiller Park, IL
National Provider Identifier
1386980720
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.009547 Issued in IL
Practice address
4330 N. Transworld Road
Flying Food Servair Health Clinic
Schiller Park, IL 60176
Phone
(847) 678-6738
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 209009547 IL
Adult Health Nurse Practitioner 363LA2200X 209.009547 IL Primary

Addresses

Primary practice location

4330 N. Transworld Road
Flying Food Servair Health Clinic
Schiller Park, IL 60176

Mailing address

3811 N Page Ave
Chicago, IL 60634-2035
Phone (773) 343-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217002682 IL Order and Referring Only - Nurse Practitioner 2668608084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.009547ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group PastSince May 1, 2015 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1386980720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N PAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342035",
            "telephone_number": "773-343-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 N. TRANSWORLD ROAD",
            "address_2": "FLYING FOOD SERVAIR HEALTH CLINIC",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "60176",
            "telephone_number": "847-678-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEN",
        "first_name": "SHEILA",
        "name_prefix": "Mrs.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IL",
            "license": "209009547",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.009547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schiller Park, IL

Sources for this page

Verify at the official NPI Registry.