Individual provider Active NPI

Jo-an Segui, D.O.

  • Pediatrics Physician
  • Frankfort, IL
National Provider Identifier
1598858219
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036104002 Issued in IL
Practice address
20325 S. Graceland Lane
Suite B
Frankfort, IL 60423
Phone
(815) 469-8700
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036104002 IL Primary

Addresses

Primary practice location

20325 S. Graceland Lane
Suite B
Frankfort, IL 60423

Mailing address

9425 Providence Square
Orland Park, IL 60467

Other identifiers 1

IdentifierTypeStateIssuer
036104002MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joan.segui@bspp.eclinicaldirect.com Direct

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036104002ILMDPediatrics Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDACA/Endpoint/DHDACA

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1598858219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 PROVIDENCE SQUARE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 S. GRACELAND LANE",
            "address_2": "SUITE B",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "60423",
            "telephone_number": "815-469-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUI",
        "first_name": "JO-AN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036104002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104002",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joan.segui@bspp.eclinicaldirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20325 S. Graceland Lane",
            "address_2": "Suite B",
            "city": "Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.