Joseph P Prieboy, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036067034 Issued in IL

Practice address

11243 W Laporte Rd
Mokena, IL 60448

Phone

(708) 479-4681

Fax

(708) 479-8516

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: joseph.prieboy.1@14307.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Therapy Group, LTD

  • Physical Therapist
  • Mokena, IL
  • NPI 1669480547
  NPD (past)
• Presence Central and Suburban Hospitals Network

  • Neonatal-Perinatal Medicine Physician
  • Joliet, IL
  • NPI 1447596630
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1104841204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11243 W LA PORTE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481374",
            "telephone_number": "708-479-4681",
            "fax_number": "708-479-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11243 W LAPORTE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60448",
            "telephone_number": "708-479-4681",
            "fax_number": "708-479-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBOY",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036067034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pmuc, LLC
• Emily Kathryn Podgorny
• Albert B Poronsky, D.O.
• Preferred Therapy Solutions Corp
• Prestige Therapy, LLC
• Prime Medical Imaging, LLC
• Lola Marie Prince, PHD, APRN, FNP-BC
• Pringlow Health and Wellness
• Pringlow Healthcare PLLC
• Proassisting Services LLC

• Family Medicine Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.