Active NPI
Joseph Guan, MD, MPH
- Internal Medicine Physician
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036168139
- Practice address
- 3700 W 203Rd St Ste 301
Olympia Fields, IL 60461-1182 - Phone
- (708) 679-2850
- Fax
- (708) 503-3811
- NPI assigned
- May 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036168139 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 125-077739 | IL |
Addresses
Primary practice location
3700 W 203Rd St Ste 301
Olympia Fields, IL 60461-1182
Mailing address
35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800
Other practice location 1
1950 W Polk St Ste 5210
Chicago, IL 60612-3723
Phone (312) 864-4462
Other practice location 2
600 S Paulina St
Chicago, IL 60612-3806
Phone (312) 942-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rush Medical College of Rush University, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3700 W 203Rd St
Suite 301
Olympia Fields, IL 60461-1182
Phone (708) 709-6295
Hospital & facility affiliations
- Franciscan Home Care
- Franciscan Health Olympia & Chicago Heights
- Franciscan Health Munster
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-077739 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients |
Locations
35318 Eagle Way
Chicago, IL 60678
3700 W 203rd St
Ste 111
Olympia Fields, IL 60461
Phone (708) 679-2512
3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- Home Health Agency
- Chicago Heights, IL
- NPI 1508885930
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1154986404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35318 EAGLE WAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606781353",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 W 203RD ST STE 301",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611182",
"telephone_number": "708-679-2850",
"fax_number": "708-503-3811"
}
],
"practiceLocations": [
{
"address_1": "1950 W Polk St Ste 5210",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123723",
"country_code": "US",
"telephone_number": "312-864-4462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 S Paulina St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123806",
"country_code": "US",
"telephone_number": "312-942-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUAN",
"first_name": "JOSEPH",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036168139",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-077739",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.