Anthony Louis Bilotta, D.O.
Individual provider Active NPI Family Medicine Physician · Willowbrook, IL
NPI 1407872500 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1407872500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036-073808 (IL)
- Practice address
- 535 Plainfield Rd
Suite C
Willowbrook, IL 60527-7607 - Phone
- (630) 986-7501
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- 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
- Uchicago Medicine Adventhealth Home Care
- Northwestern Medicine Central Dupage Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061107000084 | IL | Practitioner - Family Practice |
1456358399 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3350 | IA | MD | Family Medicine Physician |
| 036-073808 | IL | MD | Family Medicine Physician |
| 43369 | MN | MD | Family Medicine Physician |
| 42827-021 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care for U Inc; | Current | Accepting new patients | |
| Midwest Illinois Six Medical Group, PLLC | Family Medicine | Past | Accepting new patients |
| Unimed, LTD | Past | Accepting new patients |
Locations
535 Plainfield Rd
Ste C
Willowbrook, IL 60527
Phone (630) 282-6555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00401037 | Other | IL | MEDICARE RAILROAD |
| 554113100 | Medicaid | MN | |
| 02232966 | Other | IL | BCBSIL |
| 43490800 | Medicaid | WI |
Other providers in Willowbrook, IL
- Jennelyn M Belcina
- Barbara Georgette Bell
- Tallat Mamoon Berki
- Aaron A Bhagat
- Ritu Bhargava
- Bio Image Inc
- Bioidmetrics Integrative Medical Institute, LLC
- Birth Pray Love
- Aneta Bobek
- Daniel Bocian
All providers in Willowbrook, IL · Family Medicine 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 Apr 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.