Individual provider Active NPI

John P. Plante, M.D.

  • Specialist
  • Winfield, IL
National Provider Identifier
1417972175
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036-079313 Issued in IL
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

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-079313ILMDSpecialist
036086978ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. CurrentSince Jan 1, 2007 Accepting new patients
United Shockwave Services, LTD. CurrentSince Jan 1, 2007 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.

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

Verify at the official NPI Registry.