Individual provider Active NPI

Amy Lynn Dusek

  • Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1669837001
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-013733 Issued in IL
Practice address
4003 S Route 59
Naperville, IL 60564
Phone
(888) 693-6437
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-013733 IL Primary

Addresses

Primary practice location

4003 S Route 59
Naperville, IL 60564

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-1598
Phone (630) 469-2000

Other practice location 1

2000 Green Rd
Ann Arbor, MI 48105
Phone (734) 995-3764

Other practice location 2

2000 Green Rd
Ann Arbor, MI 48105
Phone (734) 995-3764

Other practice location 3

2000 Green Rd
Ann Arbor, MI 48105
Phone (734) 995-3764

Other practice location 4

2000 Green Rd
Ann Arbor, MI 48105
Phone (734) 995-3764

Other practice location 5

2525 S Michigan Ave
Chicago, IL 60616-2332
Phone (312) 567-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adusek39669@direct.luhs.org Direct LOYOLA UNIVERSITY MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160601002426 IL Practitioner - Nurse Practitioner 8426348517 Reassigns benefits to 4 organizations
I20181121001971 IN Practitioner - Nurse Practitioner 8426348517

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-013733ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP CurrentSince Dec 1, 2019 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Loyola University Medical Center CurrentSince Feb 28, 2022 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Sep 1, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Cep America - Illinois, LLP CurrentSince Dec 1, 2019 Accepting new patients
Loyola University Medical Center CurrentSince Feb 28, 2022 Accepting new patients
Harvey Emergency Physicians, PLLC Nurse Practitioner CurrentSince Aug 7, 2019 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

2000 Green Rd
Ann Arbor, MI 48105
Phone (734) 686-6362

Organizations & group practices 8

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 2

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1669837001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606741598",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 S ROUTE 59",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "888-693-6437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Green Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48105",
            "country_code": "US",
            "telephone_number": "734-995-3764",
            "fax_number": "734-995-2913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Green Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48105",
            "country_code": "US",
            "telephone_number": "734-995-3764",
            "fax_number": "734-995-2913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Green Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48105",
            "country_code": "US",
            "telephone_number": "734-995-3764",
            "fax_number": "734-995-2913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Green Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48105",
            "country_code": "US",
            "telephone_number": "734-995-3764",
            "fax_number": "734-995-2913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606162332",
            "country_code": "US",
            "telephone_number": "312-567-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUSEK",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-013733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adusek39669@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.