Active NPI
Northeast Nephrology Consultants
- Nephrology Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 042.005614
- Legal business name
- NORTHEAST NEPHROLOGY CONSULTANTS
- Practice address
- 3100 Theodore St Ste 201
Joliet, IL 60435-0605 - Phone
- (815) 717-8750
- Fax
- (815) 717-8751
- NPI assigned
- Aug 26, 2006
- Last updated
- Aug 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin L Joyce
- Title
- Senior Revenue Cycle Supervisor
- Phone
- (331) 216-1163
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | |||
| Nephrology Physician | 207RN0300X | 042.005614 | IL | Primary |
Addresses
Primary practice location
3100 Theodore St Ste 201
Joliet, IL 60435-0605
Mailing address
3100 Theodore Street
Suite 201
Joliet, IL 60435
Phone (815) 744-5550
Other practice location 1
1890 Silver Cross Blvd Ste 415
New Lenox, IL 60451-9575
Phone (815) 717-8750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1200 Maple Rd
#1030
Joliet, IL 60432
Phone (815) 744-5550
3100 Theodore St
Ste 3
Joliet, IL 60435
815 N Larkin Ave
Ste 205
Joliet, IL 60435
Phone (708) 789-5669
368 S Weber Rd
Romeoville, IL 60446
Phone (815) 254-0288
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1982973459
-
- Nephrology Physician
- Joliet, IL
- NPI 1447368949
-
- Nephrology Physician
- Joliet, IL
- NPI 1639392939
-
- Nephrology Physician
- Joliet, IL
- NPI 1841308335
-
- Nephrology Physician
- Joliet, IL
- NPI 1033222104
-
- Endocrinology, Diabetes & Metabolism Physician
- Crest Hill, IL
- NPI 1124090931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1114035615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 THEODORE STREET",
"address_2": "SUITE 201",
"city": "JOLIET",
"state": "IL",
"postal_code": "60435",
"telephone_number": "815-744-5550",
"fax_number": "815-744-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 THEODORE ST STE 201",
"city": "JOLIET",
"state": "IL",
"postal_code": "604350605",
"telephone_number": "815-717-8750",
"fax_number": "815-717-8751"
}
],
"practiceLocations": [
{
"address_1": "1890 Silver Cross Blvd Ste 415",
"address_purpose": "LOCATION",
"city": "New Lenox",
"state": "IL",
"postal_code": "604519575",
"country_code": "US",
"telephone_number": "815-717-8750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTHEAST NEPHROLOGY CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-26",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "JOYCE",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SENIOR REVENUE CYCLE SUPERVISOR",
"authorized_official_telephone_number": "331-216-1163"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "042.005614",
"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 Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.