Individual provider Active NPI

Dana Sebek, APN

  • Adult Health Nurse Practitioner
  • Homer Glen, IL
National Provider Identifier
1992214373
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209016280 Issued in IL
Practice address
15929 S Bell Rd
Homer Glen, IL 60491-6707
Phone
(708) 745-5600
NPI assigned
Sep 28, 2017
Last updated
Oct 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209016280 IL Primary

Addresses

Primary practice location

15929 S Bell Rd
Homer Glen, IL 60491-6707

Mailing address

1860 Payshere Circle
Chicago, IL 60674-0001
Phone (630) 469-9200

Other practice location 1

21014 S Sarver Dr
Shorewood, IL 60404-9180
Phone (815) 474-2416

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
I20171129003588 IL Practitioner - Nurse Practitioner 7810254836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telemedico Physicians SCGroup PAC ID 6901103647, 22 clinicians

Practice addresses (Care Compare)

1601 N Western Ave
Park Ridge, IL 60068-1233
Phone (847) 825-5531

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
69.77
Improvement activities
40
Cost
67.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209016280ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince May 6, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Nov 27, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Nov 27, 2017 Accepting new patients
Telemedico Physicians SC CurrentSince Jul 18, 2022 Accepting new patients
Diana M. Burda, MD SC PastSince Oct 1, 2007 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

3330 Skokie Valley Rd
Ste 200
Highland Park, IL 60035
Phone 8473867744202

15929 S Bell Rd
Homer Glen, IL 60491
Phone (708) 745-5600

1601 N Western Ave
Park Ridge, IL 60068
Phone (773) 960-1163

2313 N Rockton Ave
Rockford, IL 61103
Phone (815) 964-2200

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

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, 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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1992214373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15929 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916707",
            "telephone_number": "708-745-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21014 S Sarver Dr",
            "address_purpose": "LOCATION",
            "city": "Shorewood",
            "state": "IL",
            "postal_code": "604049180",
            "country_code": "US",
            "telephone_number": "815-474-2416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBEK",
        "first_name": "DANA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209016280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

Verify at the official NPI Registry.