NPIMap

Individual provider Active NPI

Corinne Sadecki-Lund, APRN

  • Family Nurse Practitioner
  • Hazel Crest, IL
National Provider Identifier
1669036331
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
260933 Issued in AZ
Practice address
17465 Kedzie Ave
Hazel Crest, IL 60429-1632
Phone
(708) 887-7329
Fax
(708) 907-0771
NPI assigned
Apr 27, 2019
Reactivated
Mar 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.01855 IL
Family Nurse Practitioner 363LF0000X 260933 AZ Primary

Addresses

Primary practice location

17465 Kedzie Ave
Hazel Crest, IL 60429-1632

Mailing address

17465 Kedzie Ave
Hazel Crest, IL 60429-1632
Phone (708) 887-7329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190528001548 IL Practitioner - Nurse Practitioner 9335482777 Reassigns benefits to 4 organizations
I20211015000747 AZ Practitioner - Nurse Practitioner 9335482777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Health Group LTDGroup PAC ID 7517180045, 6 clinicians
Avid Urgent Care LLCGroup PAC ID 8426567553, 2 clinicians
Avid Primary Care LLCGroup PAC ID 9436669629, 3 clinicians

Practice addresses (Care Compare)

13305 S Ridgeland Ave
Unit a
Palos Heights, IL 60463-1814
Phone (708) 361-6714

17465 Kedzie Ave
Hazel Crest, IL 60429-1632
Phone (708) 887-7329

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
69.93
Promoting interoperability
100
Improvement activities
40
Cost
77.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260933AZMDFamily Nurse Practitioner
209.01855ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince May 1, 2023 Accepting new patients
Community Health Providers PLLC PastSince May 1, 2019 Accepting new patients

Locations

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

3100 N Glassford Hill Rd
Prescott Valley, AZ 86314
Phone (928) 445-0607

Interoperability endpoints

  • Direct secure messaging: corinne.sadeckilund@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1669036331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17465 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291632",
            "telephone_number": "708-887-7329",
            "fax_number": "708-907-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17465 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291632",
            "telephone_number": "708-887-7329",
            "fax_number": "708-907-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADECKI-LUND",
        "first_name": "CORINNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "deactivation_date": "2026-02-11",
        "reactivation_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.01855",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "260933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.