Active NPI
Joseph Mercola, D.O
- Family Medicine Physician
- Hoffman Estates, IL
National Provider Identifier
1285713362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036066597
- Practice address
- 3200 W Higgins Rd
Hoffman Estates, IL 60169-2064 - Phone
- (224) 805-1012
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036066597 | IL | Primary |
Addresses
Primary practice location
3200 W Higgins Rd
Hoffman Estates, IL 60169-2064
Mailing address
3200 W Higgins Rd
Hoffman Estates, IL 60169-2064
Phone (224) 805-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036066597 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1285713362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 W HIGGINS RD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601692064",
"telephone_number": "224-805-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W HIGGINS RD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601692064",
"telephone_number": "224-805-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCOLA",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036066597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.