NPIMap

Individual provider Active NPI

Darryl J. Fleishman, M.D.

  • Emergency Medicine Physician
  • Blue Island, IL
National Provider Identifier
1184670713
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036088027 Issued in IL
Practice address
12935 Gregory St
Blue Island, IL 60406-2428
Phone
(708) 597-2000
NPI assigned
May 25, 2006
Last updated
May 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036088027 IL Primary

Addresses

Primary practice location

12935 Gregory St
Blue Island, IL 60406-2428

Mailing address

1720 N Lasalle St
Unit #442
Chicago, IL 60614-5845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036088027ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unimed, LTD Past Accepting new patients
Acute Care Specialists II, LTD Emergency Medicine Past Accepting new patients
St. Mary's Hospital Streator Hospital Sisters of the 3Rd Order St Fran Past Accepting new patients
Midwest Emergency Northern Illinois Inc Emergency Medicine Past Accepting new patients
Acute Care Specialists, Inc. Emergency Medicine Past Accepting new patients
Rny Medicare LTD Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Emergency Medicine Past Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients
Illinois/Indiana Em-I Medical Services, S.C. Emergency Medicine Past Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1184670713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N LASALLE ST",
            "address_2": "UNIT #442",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 GREGORY ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062428",
            "telephone_number": "708-597-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHMAN",
        "first_name": "DARRYL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036088027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.