Rudolf C Paolucci, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1019020872 Issued in IL

Practice address

202 North Hammes Avenue Suite B
Joliet, IL 60435

Phone

(815) 741-4400

Fax

(815) 741-8876

NPI assigned

Oct 16, 2008

Last updated

Oct 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1265684674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NORTH HAMMES AVENUE SUITE B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-741-4400",
            "fax_number": "815-741-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NORTH HAMMES AVENUE SUITE B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-741-4400",
            "fax_number": "815-741-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLUCCI",
        "first_name": "RUDOLF",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "1019020872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bakul K Pandya, MD
• Larry Luke Panozzo Jr., CCC-SLP
• Regina Mary Paolucci-Delsasso, DDS
• Ada Vera Paolucci, D.P.M
• Gabriella M Paolucci, DDS
• Kendall Papa, M.A. BCBA
• Louis Papaeliou, D.O.
• Deborah A Papesh
• Parc at Joliet LLC
• Parc Joliet Nursing LLC

• General Practice Dentistry in Joliet, IL
• Providers in Joliet, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.