Individual provider Active NPI

Jennifer Lynn Webb, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Plainfield, IL
National Provider Identifier
1972609782
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Practice address
15730 Robert Louis Dr
Plainfield, IL 60544-2146
Phone
(815) 577-9408
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X IL Primary

Addresses

Primary practice location

15730 Robert Louis Dr
Plainfield, IL 60544-2146

Mailing address

15730 Robert Louis Dr
Plainfield, IL 60544-2146
Phone (815) 577-9408

Other identifiers 1

IdentifierTypeStateIssuer
61412WEOtherMNBCBSMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
36101526ILMDAnesthesiology Physician
036-101528ILMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Emergency Group, LTD. Emergency Medical Services PastSince Oct 1, 2005 Accepting new patients
Central Illinois Neuroradiology, LTD Past Accepting new patients
Bestpractices of Illinois PC Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
Webster Emergency Physicians Past Accepting new patients

Organizations & group practices 5

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1972609782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15730 ROBERT LOUIS DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442146",
            "telephone_number": "815-577-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15730 ROBERT LOUIS DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442146",
            "telephone_number": "815-577-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "61412WE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.