Joliet Diabetes & Endocrinology Associates Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

036072478 Issued in IL

Legal business name

JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES INC

Practice address

1715 Glenwood Ave
Joliet, IL 60435-5835

Phone

(815) 744-1089

Fax

(815) 744-0460

NPI assigned

Oct 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bhavani Sivarajan, M.DNPI 1396711701

Title

President

Phone

(815) 744-1089

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhavani Sivarajan, M.D.

  • Specialist
  • Joliet, IL
  • NPI 1396711701
  Authorized official Same address or phone

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1205089562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355835",
            "telephone_number": "815-744-1089",
            "fax_number": "815-744-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355835",
            "telephone_number": "815-744-1089",
            "fax_number": "815-744-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "SIVARAJAN",
        "authorized_official_first_name": "BHAVANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-744-1089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036072478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joliet Area Community Hospice Corporation (Lightways Hospice and Serious Illness Care)
• Joliet Area Community Hospice Corporation (Lightways Hospice and Serious Illness Care)
• Joliet Behavioral Center, Inc
• Joliet Cardiology Center SC
• Joliet Center for Clinical Research, Inc
• Joliet Dialysis LLC (Hickory Creek Dialysis)
• Joliet Doctors Clinic S.C.
• Joliet Foot Care Center, PC
• Joliet Hospitalists Group, LLC
• Joliet Living & Rehab Center LLC

• Specialist in Joliet, IL
• Providers in Joliet, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.