Emilio Cabana, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036044089 Issued in IL

Practice address

6840 S. Main Street
Suite 201
Downers Grove, IL 60516-3493

Phone

(630) 852-4551

Fax

(630) 852-0131

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Downers Grove Pediatrics LTD

  • Pediatrics Physician
  • Downers Grove, IL
  • NPI 1912930769
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1902838345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 S. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163493",
            "telephone_number": "630-852-4551",
            "fax_number": "630-852-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 S. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163493",
            "telephone_number": "630-852-4551",
            "fax_number": "630-852-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANA",
        "first_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036044089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044089",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Butusov
• Lauren Elena Byars
• Byram Healthcare Centers, Inc.
• Byram Healthcare Centers, Inc.
• Lauren P Byrnes, MS, BCBA,
• John Cabana, M.D.
• Mark D Cabana, DDS
• Leeann Michelle Cacovean, MSN, ACNP
• Elizabeth A Cada, ED OTR L FAOTA
• Cherry Calalang, APN

• Pediatrics Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.