Individual provider Active NPI

Deborah A Panuska, MSN, APN-BC

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1750552360
Registry record updated Mar 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.006339 Issued in IL
Practice address
110 E Schiller St Ste 319
Elmhurst, IL 60126-2823
Phone
(630) 832-1775
Fax
(630) 832-3078
NPI assigned
Mar 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.006339 IL Primary

Addresses

Primary practice location

110 E Schiller St Ste 319
Elmhurst, IL 60126-2823

Mailing address

110 E Schiller St Ste 319
Elmhurst, IL 60126-2823
Phone (630) 832-1775

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.006339ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Kankakee Current Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
Paragon Clinical LLC Adult Health PastSince Oct 8, 2019 Accepting new patients

Locations

400 S Kennedy Dr
Ste 100
Bradley, IL 60915
Phone (815) 928-8050

Organizations & group practices 4

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": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206230400000",
    "number": "1750552360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SCHILLER ST STE 319",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262823",
            "telephone_number": "630-832-1775",
            "fax_number": "630-832-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SCHILLER ST STE 319",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262823",
            "telephone_number": "630-832-1775",
            "fax_number": "630-832-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANUSKA",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSN, APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-23",
        "last_updated": "2008-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.006339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; 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.