Active NPI
Joseph J Hennessy, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1265407209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036082176
- Practice address
- 1520 W Harrison St
Chicago, IL 60607-3106 - Phone
- (312) 942-3192
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036082176 | IL | Primary |
Addresses
Primary practice location
1520 W Harrison St
Chicago, IL 60607-3106
Mailing address
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-3192
Other practice location 1
676 N Michigan Ave
Suite 3120
Chicago, IL 60611-2883
Phone (312) 780-2301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082176 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2008 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Loop University Medicine, LTD. | Internal Medicine | Current | Accepting new patients |
| MD2 Chicago | Past | Accepting new patients |
Locations
1725 W Harrison St
Ste 10
Chicago, IL 60612
Phone (312) 563-3700
1725 W Harrison St
Ste 837
Chicago, IL 60612
Phone (312) 942-6013
Interoperability endpoints
- joseph.hennessy.1@3547.direct.athenahealth.com
- joseph.hennessy.1@28513.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1730154030
-
- Exclusive Provider Organization
- Chicago, IL
- NPI 1568742542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1265407209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073106",
"telephone_number": "312-942-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073106",
"telephone_number": "312-942-3192"
}
],
"practiceLocations": [
{
"address_1": "676 N Michigan Ave",
"address_2": "Suite 3120",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112883",
"country_code": "US",
"telephone_number": "312-780-2301",
"fax_number": "312-780-2304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNESSY",
"first_name": "JOSEPH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036082176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036082176",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.