Active NPI
D M Freeman MD Endocrinology LTD
- Endocrinology, Diabetes & Metabolism Physician
- Joliet, IL
National Provider Identifier
1144283565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036055504
- Legal business name
- D M FREEMAN MD ENDOCRINOLOGY LTD
- Practice address
- 30 Uno Circle
Joliet, IL 60435 - Phone
- (815) 773-0766
- Fax
- (815) 773-0764
- NPI assigned
- Apr 7, 2006
- 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
- Deborah Marie Freeman, MD
- Title
- President
- Phone
- (815) 773-0766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036055504 | IL | Primary |
Addresses
Primary practice location
30 Uno Circle
Joliet, IL 60435
Mailing address
30 Uno Circle
Joliet, IL 60435
Phone (815) 773-0766
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D0974334 | Other | CLIA | |
| 0009926176 | Other | IL | BCBS |
| 036055504 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187049600000",
"number": "1144283565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 UNO CIRCLE",
"city": "JOLIET",
"state": "IL",
"postal_code": "60435",
"telephone_number": "815-773-0766",
"fax_number": "815-773-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 UNO CIRCLE",
"city": "JOLIET",
"state": "IL",
"postal_code": "60435",
"telephone_number": "815-773-0766",
"fax_number": "815-773-0764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D M FREEMAN MD ENDOCRINOLOGY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2007-08-14",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-773-0766",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036055504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "14D0974334",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0009926176",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036055504",
"state": "IL"
}
],
"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 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.