Organization Active NPI

Anthony Proske MD LTD

  • Sleep Disorder Diagnostic Clinic/Center
  • Joliet, IL
National Provider Identifier
1235120668
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ANTHONY PROSKE MD LTD
Practice address
300 Barney Dr
Suite C
Joliet, IL 60435-5296
Phone
(815) 744-7762
Fax
(815) 744-7861
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Anthony Proske, MD
Title
Officer
Phone
(708) 774-2970

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

300 Barney Dr
Suite C
Joliet, IL 60435-5296

Mailing address

PO Box 379
Orland Park, IL 60462-0379
Phone (708) 774-2970

Other identifiers 1

IdentifierTypeStateIssuer
9900406OtherILBCBS IL GR#

National Provider Directory

National Provider Directory

Locations

2132 W Jefferson St
#A
Joliet, IL 60435
Phone (312) 831-1253

2132 W Jefferson St
Joliet, IL 60435
Phone (815) 741-7114

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1235120668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620379",
            "telephone_number": "708-774-2970",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BARNEY DR",
            "address_2": "SUITE C",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355296",
            "telephone_number": "815-744-7762",
            "fax_number": "815-744-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY PROSKE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "PROSKE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "708-774-2970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL GR#",
            "identifier": "9900406",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.