Organization Active NPI

Joseph P Imperato, M D, P C

  • Radiation Oncology Physician
  • Lake Forest, IL
National Provider Identifier
1295700037
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
JOSEPH P IMPERATO, M D, P C
Practice address
660 N Westmoreland Rd
Lake Forest Hospital
Lake Forest, IL 60045-1659
Phone
(847) 234-6135
Fax
(847) 234-2048
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Dr. Joseph Imperato, M.D.
Title
Physician Owner
Phone
(847) 234-6135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

660 N Westmoreland Rd
Lake Forest Hospital
Lake Forest, IL 60045-1659

Mailing address

1730 Park St
Suite 101
Naperville, IL 60563-2688
Phone (630) 718-0200

Other identifiers 1

IdentifierTypeStateIssuer
04925680OtherILBLUE CROSS / BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1475 E Belvidere Rd
#120
Grayslake, IL 60030
Phone (847) 535-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1295700037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PARK ST",
            "address_2": "SUITE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632688",
            "telephone_number": "630-718-0200",
            "fax_number": "630-718-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N WESTMORELAND RD",
            "address_2": "LAKE FOREST HOSPITAL",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451659",
            "telephone_number": "847-234-6135",
            "fax_number": "847-234-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P IMPERATO, M D, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "IMPERATO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "847-234-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "04925680",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.