Active NPI
Anthony Proske MD LTD
- Sleep Disorder Diagnostic Clinic/Center
- Joliet, IL
National Provider Identifier
1235120668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9900406 | Other | IL | BCBS IL GR# |
National Provider Directory
National Provider DirectoryLocations
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.