Active NPI
John P. Plante, M.D.
- Specialist
- Winfield, IL
National Provider Identifier
1417972175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036-079313
- Practice address
- 0N025 Winfield Rd Ste 407
Winfield, IL 60190-1237 - Phone
- (630) 690-6400
- Fax
- (630) 690-6482
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 036-079313 | IL | Primary |
Addresses
Primary practice location
0N025 Winfield Rd Ste 407
Winfield, IL 60190-1237
Mailing address
311 S County Farm Rd
Ste B
Wheaton, IL 60187-2477
Phone (630) 690-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-079313 | IL | MD | Specialist |
| 036086978 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Shockwave Services, LTD. | Current | Accepting new patients | |
| United Shockwave Services, LTD. | Current | Accepting new patients |
Locations
6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222
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 and National Provider Directory roles.
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- NPI 1336526219
-
- Urology Physician
- Park Ridge, IL
- NPI 1497132377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1417972175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S COUNTY FARM RD",
"address_2": "STE B",
"city": "WHEATON",
"state": "IL",
"postal_code": "601872477",
"telephone_number": "630-690-6400",
"fax_number": "630-690-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0N025 WINFIELD RD STE 407",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901237",
"telephone_number": "630-690-6400",
"fax_number": "630-690-6482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANTE",
"first_name": "JOHN",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-079313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.