Dominic J Allocco, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Mokena, IL
NPI 1306800545 · NPPES record last updated Jun 20, 2008
Key facts
- NPI
- 1306800545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 036041838 (IL)
- Practice address
- 19001 Old Lagrange Rd
Mokena, IL 60448-8012 - Phone
- (708) 478-4224
- Fax
- (708) 478-4033
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Care Centers of Illinois, SC | Internal Medicine | Current |
Accepting new patients |
| Heart Care Centers of Illinois, SC | Cardiovascular Disease | Past | Accepting new patients |
Locations
3231 Euclid Ave
Ste 400
Berwyn, IL 60402
Phone (708) 478-3600
2338 New St
Blue Island, IL 60406
Phone (708) 577-5060
19001 Old Lagrange Rd
Mokena, IL 60448
Phone (708) 478-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036041838 | IL | Yes |
| Internal Medicine Physician | 207R00000X | 036041838 | IL |
Addresses
Primary practice location
19001 Old Lagrange Rd
Mokena, IL 60448-8012
Mailing address
19001 Old Lagrange Rd
Mokena, IL 60448-8012
Phone (708) 478-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01621208 | Other | IL | BLUECROSS BLUE SHIELD |
| 036041838 | Medicaid | IL | |
| 060053554 | Other | IL | RAILROAD MEDICARE WILL |
| 1508810086 | Other | IL | GROUP NPI |
| 236551 | Other | IL | MEDICARE GROUP |
| 060042334 | Other | IL | RAILROAD MEDICARE COOK |
| CN2703 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
| CD8033 | Other | IL | RAILROAD MEDICARE GROUPT PTAN |
| 236550 | Other | IL | MEDICARE GROUP |
Other providers in Mokena, IL
- Kimbular Alexander
- Moataz Ali
- Mohammad Alian
- Salma A Aljamal
- Lynn Marie Alleruzzo
- Hiba Almadadha
- Crystal Alnaser
- Lissette Alvarez
- American Anesthesiology Associates of Illinois, S.C.
- Ams Counseling
All providers in Mokena, IL · Cardiovascular Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.