Anthony D Murino, D.O.
Individual provider Active NPI Emergency Medicine Physician · Joliet, IL
NPI 1487979332 · NPPES record last updated Apr 5, 2010
Key facts
- NPI
- 1487979332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036-123166 (IL)
- Practice address
- 1200 Maple Rd
Joliet, IL 60432-1439 - Phone
- (815) 740-1100
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clarksville Emergency Group PC
Practice addresses (Care Compare)
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141
Hospital & facility affiliations
- Franciscan Health Munster
- Franciscan Health Dyer
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- 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 |
|---|---|---|---|---|
| I20101217000899 | IL | Practitioner - Emergency Medicine | 8224226196 | Reassigns benefits to 3 organizations |
| I20171215002531 | IN | Practitioner - Emergency Medicine | 8224226196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-123166 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Em Strategies,LTD. | Emergency Medicine | Current |
Accepting new patients |
| Foundation for Emergency Services | Current |
Accepting new patients | |
| Health Service Systems, Inc | Current |
Accepting new patients | |
| Clarksville Emergency Group, PC | Emergency Medicine | Current |
Accepting new patients |
| Health Service Systems, Inc | Current |
Accepting new patients | |
| Foundation for Emergency Services | Emergency Medicine | Current | Accepting new patients |
Locations
326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
200 Corporate Blvd
Lafayette, LA 70508
Interoperability endpoints
- amurino251445@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-123166 | IL | Yes |
Addresses
Primary practice location
1200 Maple Rd
Joliet, IL 60432-1439
Mailing address
PO Box 1208
Bedford Park, IL 60499-1208
Phone (630) 734-0200
Other providers in Joliet, IL
- Kimberly Ann Mulligan
- Melissa L Munday
- Jean Munyaneza
- Kiyoshi Gary Murakami
- Sireesha Murala
- Sabrina Murino
- Amanda Murphy
- Cara A Murphy
- Jessamyn Curie Murphy
- Kristen M Murphy
All providers in Joliet, IL · Emergency 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 5, 2010. 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.