Active NPI
Michael James Doolin, FF/PM
- Emergency Medical Services (Emergency Medicine) Physician
- Chicago, IL
National Provider Identifier
1033760715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 060360179
- Practice address
- 1338 S Clinton St
Chicago, IL 60607-5037 - Phone
- (312) 745-4189
- NPI assigned
- Sep 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 060360179 | IL | Primary |
Addresses
Primary practice location
1338 S Clinton St
Chicago, IL 60607-5037
Mailing address
1338 S Clinton St
Chicago, IL 60607-5037
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060360179 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1033760715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 S CLINTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606075037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 S CLINTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606075037",
"telephone_number": "312-745-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLIN",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "FF/PM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": "060360179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.