Organization Active NPI

Southwest Respiratory Associates, LLC

  • Pulmonary Disease Physician
  • Joliet, IL
National Provider Identifier
1023297157
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SOUTHWEST RESPIRATORY ASSOCIATES, LLC
Practice address
3045 Theodore St
Joliet, IL 60435-5191
Phone
(815) 577-5223
Fax
(815) 436-7103
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Gregg R Cohan, M.D.
Title
President
Phone
(815) 577-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X IL Primary

Addresses

Primary practice location

3045 Theodore St
Joliet, IL 60435-5191

Mailing address

3045 Theodore St
Joliet, IL 60435-5191
Phone (815) 577-5223

National Provider Directory

National Provider Directory

Locations

3045 Theodore St
Joliet, IL 60435
Phone (815) 577-5223

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1023297157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 THEODORE ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355191",
            "telephone_number": "815-577-5223",
            "fax_number": "815-436-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 THEODORE ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355191",
            "telephone_number": "815-577-5223",
            "fax_number": "815-436-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST RESPIRATORY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "COHAN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-577-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.