Anthony E Proske, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036047541 Issued in IL

Practice address

2132 W Jefferson St
Suite a
Joliet, IL 60435-6622

Phone

(815) 744-7762

Fax

(815) 744-7861

NPI assigned

Nov 3, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9459/brand/1/csg/1/fhir/r4

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.

• Department of Behavioral Sciences

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1235398546
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1114918547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620379",
            "telephone_number": "708-460-9836",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 W JEFFERSON ST",
            "address_2": "SUITE A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356622",
            "telephone_number": "815-744-7762",
            "fax_number": "815-744-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSKE",
        "first_name": "ANTHONY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036047541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP NPI#",
            "identifier": "1235120668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "09900406",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047541",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giedre Pritchard, FNP-C
• James D Pritz, R.PH.
• Thomas Pritz, PHARMD, RPH
• Promises of Recovery
• Propensity ABA Services, LLC
• Provena Care at Home
• Provena Care at Home
• Provena Home Health Inc
• Gianna Marie Prucha, PA
• Bianca Pruitt, RN,MSN,DNP,CCM

• Neurology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.