Individual provider Active NPI

Daniel Drag, FNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1881312296
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209025780 Issued in IL
Practice address
4354 W 63Rd St
Chicago, IL 60629-5039
Phone
(773) 917-8400
NPI assigned
Aug 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 209025780 IL Primary

Addresses

Primary practice location

4354 W 63Rd St
Chicago, IL 60629-5039

Mailing address

12158 White Pine TRL
Homer Glen, IL 60491-8355
Phone (708) 261-5018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240715003026 IL Practitioner - Nurse Practitioner 4082159009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Anesthesia and Pain Specialists SCGroup PAC ID 6204051899, 19 clinicians

Practice addresses (Care Compare)

17680 Kedzie Ave
Suite 103
Hazel Crest, IL 60429-2083
Phone (708) 794-3347

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia and Pain Specialists SC CurrentSince May 16, 2024 Accepting new patients
Midwest Anesthesia and Pain Specialists, SC CurrentSince May 16, 2024 Accepting new patients

Locations

4354 W 63rd St
Chicago, IL 60629
Phone (773) 482-5800

1644 E 53rd St
Chicago, IL 60615
Phone (773) 241-6450

9680 Golf Rd
Des Plaines, IL 60016
Phone (773) 362-2917

9680 Golf Rd
Fl 2
Des Plaines, IL 60016
Phone (708) 987-3795

10095 W Lincoln Hwy
Frankfort, IL 60423
Phone (630) 400-8073

17680 Kedzie Ave
Ste 103
Hazel Crest, IL 60429
Phone (708) 799-1717

2007 75th St
Woodridge, IL 60517
Phone (630) 991-2454

Organizations & group practices 2

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1881312296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12158 WHITE PINE TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918355",
            "telephone_number": "708-261-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295039",
            "telephone_number": "773-917-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAG",
        "first_name": "DANIEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.