Individual provider Active NPI

Anthony Louis Bilotta, D.O.

  • Family Medicine Physician
  • Willowbrook, IL
National Provider Identifier
1407872500
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-073808 Issued in IL
Practice address
535 Plainfield Rd
Suite C
Willowbrook, IL 60527-7607
Phone
(630) 986-7501
NPI assigned
Jul 14, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3350 IA
Family Medicine Physician 207Q00000X 42827-021 WI
Family Medicine Physician 207Q00000X 43369 MN
Family Medicine Physician 207Q00000X 036-073808 IL Primary

Addresses

Primary practice location

535 Plainfield Rd
Suite C
Willowbrook, IL 60527-7607

Mailing address

535 Plainfield Rd
Suite C
Willowbrook, IL 60527-7607
Phone (630) 986-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061107000084 IL Practitioner - Family PracticePractitioner - General PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Emergency Medicine 1456358399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, General Practice, Osteopathic Manipulative Medicine, Physical Medicine and Rehabilitation
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

535 Plainfield Rd
Suite C
Willowbrook, IL 60527-7608
Phone (630) 986-7501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3350IAMDFamily Medicine Physician
036-073808ILMDFamily Medicine Physician
43369MNMDFamily Medicine Physician
42827-021WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care for U Inc; Current Accepting new patients
Unimed, LTD Past Accepting new patients
Midwest Illinois Six Medical Group, PLLC Family Medicine Past Accepting new patients

Locations

535 Plainfield Rd
Ste C
Willowbrook, IL 60527
Phone (630) 282-6555

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1407872500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PLAINFIELD RD",
            "address_2": "SUITE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277607",
            "telephone_number": "630-986-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLAINFIELD RD",
            "address_2": "SUITE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277607",
            "telephone_number": "630-986-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILOTTA",
        "first_name": "ANTHONY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "42827-021",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "43369",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-073808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.