Active NPI
Dana Dunleavy, PTA
- Community Health Worker
- Antioch, IL
National Provider Identifier
1811283336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 160.001628
- Practice address
- 591 Midnight Pass
Antioch, IL 60002-2473 - Phone
- (847) 208-0986
- NPI assigned
- Jun 22, 2011
- Last updated
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 160.001628 | IL | Primary |
Addresses
Primary practice location
591 Midnight Pass
Antioch, IL 60002-2473
Mailing address
591 Midnight Pass
Antioch, IL 60002-2473
Phone (847) 208-0986
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.001628 | IL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1811283336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 MIDNIGHT PASS",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600022473",
"telephone_number": "847-208-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 MIDNIGHT PASS",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600022473",
"telephone_number": "847-208-0986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLEAVY",
"first_name": "DANA",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IL",
"license": "160.001628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, IL
- Lora Dolman
- Donald L Bennett, D.D.S., P.C. (Antioch Dental Center)
- Grace Victoria Dorog, RPT
- DPT Holdings LLC (Doctors of Physical Therapy)
- Heidi Michelle Droessler, LSW
- Julie Ann Dupont
- Educational and Therapeutic Care Management LLC
- Eh2 Psychiatry PLLC
- Emberlight Therapy, LLC
- Emmons School District 33
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.