NPIMap

Organization Active NPI

Associates in Psychiatric Medicine of Illinois

  • Psychiatry Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1023217106
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ASSOCIATES IN PSYCHIATRIC MEDICINE OF ILLINOIS
Practice address
18W100 22ND St
Suite 126
Oakbrook Terrace, IL 60181-4499
Phone
(630) 705-1501
Fax
(630) 705-1503
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Joseph G. Fanelli, M.D.
Title
President
Phone
(630) 705-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

18W100 22ND St
Suite 126
Oakbrook Terrace, IL 60181-4499

Mailing address

18W100 22ND St
Suite 126
Oakbrook Terrace, IL 60181-4499
Phone (630) 705-1501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1023217106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18W100 22ND ST",
            "address_2": "SUITE 126",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814499",
            "telephone_number": "630-705-1501",
            "fax_number": "630-705-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18W100 22ND ST",
            "address_2": "SUITE 126",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814499",
            "telephone_number": "630-705-1501",
            "fax_number": "630-705-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN PSYCHIATRIC MEDICINE OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "FANELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-705-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.