Active NPI
Joseph Santillo, ATC
- Athletic Trainer
- Frankfort, IL
National Provider Identifier
1508290024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096001780
- Practice address
- 43 Bankview Dr
Frankfort, IL 60423-1861 - Phone
- (815) 469-6676
- NPI assigned
- Sep 3, 2013
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096001780 | IL | Primary |
Addresses
Primary practice location
43 Bankview Dr
Frankfort, IL 60423-1861
Mailing address
1420 Kensington Rd
Ste 106
Oak Brook, IL 60523-2143
Phone (630) 427-4192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096001780 | IL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolution PTWL LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Chicago, IL
- NPI 1164766606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1508290024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 KENSINGTON RD",
"address_2": "STE 106",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232143",
"telephone_number": "630-427-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 BANKVIEW DR",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231861",
"telephone_number": "815-469-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTILLO",
"first_name": "JOSEPH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096001780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.