Individual provider Active NPI

Sarah Breen, D.O.

  • Pediatrics Physician
  • Buffalo Grove, IL
National Provider Identifier
1972769586
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-126352 Issued in IL
Practice address
1450 Busch Pkwy Ste 130
Buffalo Grove, IL 60089-4541
Phone
(847) 499-3070
NPI assigned
Aug 3, 2008
Last updated
Oct 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-126352 IL Primary

Addresses

Primary practice location

1450 Busch Pkwy Ste 130
Buffalo Grove, IL 60089-4541

Mailing address

1450 Busch Pkwy Ste 130
Buffalo Grove, IL 60089-4541
Phone (847) 499-3070

Other practice location 1

1051 W Rand Rd Ste 103
Arlington Heights, IL 60004-2315
Phone (847) 259-5900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sbreen250823@direct.myadvocateaurora.org
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-126352ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanders Court Pediatrics, LTD. Pediatrics CurrentSince Dec 26, 2021 Accepting new patients
Pediatrust, L.L.C. Pediatrics PastSince Dec 26, 2021 Accepting new patients

Locations

1051 W Rand Rd
Ste 103
Arlington Hts, IL 60004
Phone (847) 259-5900

1450 Busch Pkwy
Ste 130
Buffalo Grove, IL 60089
Phone (847) 499-3070

Interoperability endpoints

  • Direct secure messaging: sbreen250823@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1972769586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BUSCH PKWY STE 130",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894541",
            "telephone_number": "847-499-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BUSCH PKWY STE 130",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894541",
            "telephone_number": "847-499-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 W Rand Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600042315",
            "country_code": "US",
            "telephone_number": "847-259-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEN",
        "first_name": "SARAH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-126352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbreen250823@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1450 Busch Pkwy Ste 130",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600894541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1450 Busch Pkwy Ste 130",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600894541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; 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.