NPIMap

Organization Active NPI

Cardiology Interpretation of Joliet

  • Cardiovascular Disease Physician
  • Joliet, IL
National Provider Identifier
1083663603
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042066110 Issued in IL
Legal business name
CARDIOLOGY INTERPRETATION OF JOLIET
Practice address
2801 Black Rd
Suite a
Joliet, IL 60435-2929
Phone
(815) 740-1900
Fax
(815) 725-2413
NPI assigned
May 9, 2006
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Dennis M. Killian, M.D.NPI 1568411536
Title
Member
Phone
(815) 740-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 042066110 IL Primary

Addresses

Primary practice location

2801 Black Rd
Suite a
Joliet, IL 60435-2929

Mailing address

2801 Black Rd
Suite a
Joliet, IL 60435-2929
Phone (815) 740-1900

National Provider Directory

National Provider Directory

Locations

2801 Black Rd
Ste A
Joliet, IL 60435
Phone (815) 740-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1083663603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BLACK RD",
            "address_2": "SUITE A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352929",
            "telephone_number": "815-740-1900",
            "fax_number": "815-725-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BLACK RD",
            "address_2": "SUITE A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352929",
            "telephone_number": "815-740-1900",
            "fax_number": "815-725-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY INTERPRETATION OF JOLIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "815-740-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "042066110",
            "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 Feb 11, 2014; 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.