Julie Patacsil, MD
Individual provider Active NPI Emergency Medicine Physician · Tinley Park, IL
NPI 1508032178 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1508032178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036.120825 (IL)
- Practice address
- 17495 La Grange Rd
Tinley Park, IL 60487-7581 - Phone
- (708) 406-3243
- Fax
- (708) 226-7161
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hoopeston Emergency Medicine Specialists LTD
Practice addresses (Care Compare)
701 E Orange St
Hoopeston, IL 60942-1801
Phone (708) 393-7537
Hospital & facility affiliations
- Carle Hoopeston Regional Health Center
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 |
|---|---|---|---|---|
| I20080623000087 | IL | Practitioner - Emergency Medicine | 8426129289 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.120825 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Emergency Medicine | Current |
Accepting new patients |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Current |
Accepting new patients |
| Ottawa Regional Hospital & Healthcare Center | Current |
Accepting new patients | |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Hoopeston Community Memorial Hospital | Emergency Medicine | Current |
Accepting new patients |
| Illinois Emergency Medicine Specialists, LLC | Current |
Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Current |
Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current |
Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000
3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
111 Spring St
Streator, IL 61364
Phone (815) 672-4587
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- jpatacsil235228@direct.edward.org
- jpatacsilmd359594@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.120825 | IL | Yes |
Addresses
Primary practice location
17495 La Grange Rd
Tinley Park, IL 60487-7581
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 469-9200
Other names
- Julie Ditto
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpatacsil235228@direct.edward.org |
Other providers in Tinley Park, IL
- Maria Pappas
- Jose M Paredes
- Vincent Parisi
- Aliyah Parrish
- Kathleen Passafiume
- Ishani Patel
- Palak Patel
- Pinky Patel
- Shilpaben Patel
- Angela Patrick
All providers in Tinley Park, 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 Oct 19, 2021. 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.