Active NPI
Joseph Imperato, M.D.
- Radiation Oncology Physician
- Lake Forest, IL
National Provider Identifier
1346215183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 036071961
- 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
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 036071961 | IL | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036071961 | Medicaid | IL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1346215183",
"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": {
"last_name": "IMPERATO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036071961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036071961",
"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 Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.