Organization Active NPI

Illinois Orthopedic Institute, LLC

  • Orthopaedic Surgery Physician
  • Joliet, IL
National Provider Identifier
1295210524
Registry record updated Jul 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ILLINOIS ORTHOPEDIC INSTITUTE, LLC
Practice address
1445 Essington Rd.
Joliet, IL 60435-2886
Phone
(815) 741-6900
Fax
(815) 729-1583
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2021

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

Authorized official

Name
Joe George, DPMNPI 1114068202
Title
Partner
Phone
(815) 741-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1445 Essington Rd.
Joliet, IL 60435-2886

Mailing address

1445 Essington Rd
Joliet, IL 60435-2886
Phone (815) 741-6900

Other identifiers 1

IdentifierTypeStateIssuer
248002291OtherILIL STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL JOLIET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128001575 IL Part B Supplier - Clinic/Group Practice 9537406608 Receives reassigned benefits from 4 practitioners
Practice locations: Joliet, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2159429Illinois Orthopedic Institute, LLC1445 Essington Rd, Joliet, IL 60435Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Locations

1445 Essington Rd
Joliet, IL 60435
Phone (815) 741-6900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626480000000",
    "number": "1295210524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352886",
            "telephone_number": "815-741-6900",
            "fax_number": "815-729-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 ESSINGTON RD.",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352886",
            "telephone_number": "815-741-6900",
            "fax_number": "815-729-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ORTHOPEDIC INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2021-07-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "815-741-6900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "248002291",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JOLIET",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1445 Essington Rd.",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604352886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.