Individual provider Active NPI

John M Andreoni, MD

  • Infectious Disease Physician
  • Palos Heights, IL
National Provider Identifier
1225024508
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Practice address
7804 W College Dr
Suite 1NW
Palos Heights, IL 60463-1025
Phone
(708) 361-5778
Fax
(708) 361-5631
NPI assigned
Sep 22, 2005
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X IL Primary

Addresses

Primary practice location

7804 W College Dr
Suite 1NW
Palos Heights, IL 60463-1025

Mailing address

777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550

Other identifiers 2

IdentifierTypeStateIssuer
21622441OtherILBCBS PROVIDER ID
14605OtherILADVOCATE HLTH PARTNERS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000235 IL Practitioner - Internal MedicinePractitioner - Infectious Disease 0446222038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Loyola University of Chicago, Stritch School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Infectious Disease and Internal Medicine S CGroup PAC ID 3779555362, 11 clinicians

Practice addresses (Care Compare)

7804 W College Dr
Palos Heights, IL 60463-1025
Phone (708) 361-5778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036088309ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Infectious Disease & Internal Medicine S C Infectious Disease CurrentSince Dec 1, 1998 Accepting new patients
Id Associates Limited Infectious Disease Past Accepting new patients

Locations

17W755 Butterfield Rd
Ste 101
Oakbrook Terrace, IL 60181
Phone (630) 323-4075

7804 W College Dr
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
#1
Palos Heights, IL 60463

7804 W College Dr
Ste 1N
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
Ste 1NW
Palos Heights, IL 60463
Phone (708) 361-5778

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, 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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1225024508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DR",
            "address_2": "SUITE 1NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631025",
            "telephone_number": "708-361-5778",
            "fax_number": "708-361-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREONI",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "21622441",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE HLTH PARTNERS",
            "identifier": "14605",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.