Individual provider Active NPI

Dominic J Allocco, M.D.

  • Cardiovascular Disease Physician
  • Mokena, IL
National Provider Identifier
1306800545
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036041838 Issued in IL
Practice address
19001 Old Lagrange Rd
Mokena, IL 60448-8012
Phone
(708) 478-4224
Fax
(708) 478-4033
NPI assigned
Apr 14, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036041838 IL Primary
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

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036041838ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care Centers of Illinois, SC Internal Medicine CurrentSince Apr 16, 1997 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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1306800545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 OLD LAGRANGE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488012",
            "telephone_number": "708-478-3600",
            "fax_number": "708-478-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 OLD LAGRANGE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488012",
            "telephone_number": "708-478-4224",
            "fax_number": "708-478-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLOCCO",
        "first_name": "DOMINIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036041838",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036041838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.