Active NPI
Julie C Deignan, P.T.
- Physical Therapist
- Chicago, IL
National Provider Identifier
1174033419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022759
- Practice address
- 150 S Wacker Dr. Suite LL1-61
Chicago, IL 60606-4103 - Phone
- (312) 877-5470
- Fax
- (312) 877-5471
- NPI assigned
- Sep 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070022759 | IL | Primary |
Addresses
Primary practice location
150 S Wacker Dr. Suite LL1-61
Chicago, IL 60606-4103
Mailing address
183 N York St #a
Elmhurst, IL 60126-2717
Phone (630) 832-6919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Southern California Keck School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
76 E Monroe St
Chicago, IL 60603-2702
Phone (703) 302-0951
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506729600000",
"number": "1174033419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 N YORK ST #A",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262717",
"telephone_number": "630-832-6919",
"fax_number": "630-832-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S WACKER DR. SUITE LL1-61",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606064103",
"telephone_number": "312-877-5470",
"fax_number": "312-877-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIGNAN",
"first_name": "JULIE",
"middle_name": "C",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-30",
"last_updated": "2017-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.