Individual provider Active NPI

Julie Patacsil, MD

  • Emergency Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1508032178
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.120825 Issued in 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
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.120825 IL Primary

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 1

  • Julie Ditto Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpatacsil235228@direct.edward.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080623000087 IL Practitioner - Emergency Medicine 8426129289 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
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 LTDGroup PAC ID 0941102446, 12 clinicians

Practice addresses (Care Compare)

701 E Orange St
Hoopeston, IL 60942-1801
Phone (708) 393-7537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.120825ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Nov 1, 2012 Accepting new patients
Hoopeston Community Memorial Hospital Emergency Medicine CurrentSince Dec 19, 2022 Accepting new patients
Carle Health Medical Group Emergency Medicine CurrentSince Feb 11, 2026 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jan 4, 2016 Accepting new patients
Hoopeston Emergency Medicine Specialists, LTD. Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Dec 19, 2022 Accepting new patients
Carle West Physician Group Inc CurrentSince Dec 19, 2022 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jan 4, 2016 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) 902-5300

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

  • Direct secure messaging: jpatacsil235228@direct.edward.org
  • Direct secure messaging: jpatacsilmd359594@carlehiedirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1508032178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17495 LA GRANGE RD",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877581",
            "telephone_number": "708-406-3243",
            "fax_number": "708-226-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATACSIL",
        "first_name": "JULIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.120825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpatacsil235228@direct.edward.org",
            "affiliation": "N",
            "address_1": "17495 La Grange Rd",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604877581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DITTO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.