Joseph Patrick Lagattuta, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1295189033 Issued in IL

Practice address

26W171 Roosevelt Rd
Wheaton, IL 60187-6002

Phone

(630) 909-7290

NPI assigned

Apr 18, 2016

Last updated

Dec 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1295189033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 W CRAIN ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141845",
            "telephone_number": "224-805-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876002",
            "telephone_number": "630-909-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGATTUTA",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "1295189033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295189033",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Dental LTD (DPD Smiles)
• Michaela Lacko, LAC, MSOM
• Tziporah Ladin-Gross
• Kelley Bowers Laesch, M.A., CCC-SLP/L
• Steven R Lafayette, MD
• Patricia Ann Lage
• Alicia E. Lahoz, PSYD
• Tasneem Lakha-Vangara, D.D.S.
• Vianca G Lamarca, FNP-C, FNP-BC, APRN
• Bryan Patrick Lamb, MD

• Physical Medicine & Rehabilitation Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.