Active NPI
Daniel Drag, FNP
- Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209025780
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia and Pain Specialists SC | Current | Accepting new patients | |
| Midwest Anesthesia and Pain Specialists, SC | Current | 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.
-
- Interventional Pain Medicine Physician
- Des Plaines, IL
- NPI 1558773754
-
- Specialist
- Frankfort, IL
- NPI 1740074525
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.