Active NPI
Julie C Okeefe, MD
- Pediatrics Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36100041
- Practice address
- 2160 S 1St Ave
( 1950 S. Harlem Ave, No Riverside, Il. 60546)
Maywood, IL 60153 - Phone
- (708) 354-9250
- Fax
- (708) 354-8765
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36100041 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
( 1950 S. Harlem Ave, No Riverside, Il. 60546)
Maywood, IL 60153
Mailing address
2160 S 1St Ave
( 1950 S. Harlem Ave, No Riverside, Il. 60546)
Maywood, IL 60153
Phone (708) 354-9250
Other practice location 1
1001 Commerce Dr Ste 500
Oak Brook, IL 60523-8865
Phone (331) 732-4630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36100041 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jokeefe15431@direct.luhs.org | Other |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36100041 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Pediatrics | Past | Accepting new patients |
| Loyola University Physician Foundation | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2160 S 1st Ave
#1950S
Maywood, IL 60153
Phone (708) 354-9250
1001 Commerce Dr
Ste 500
Oak Brook, IL 60523
Phone (331) 732-4490
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- General Practice Physician
- Maywood, IL
- NPI 1235148891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1568436566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "( 1950 S. HARLEM AVE, NO RIVERSIDE, IL. 60546)",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-354-9250",
"fax_number": "708-354-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "( 1950 S. HARLEM AVE, NO RIVERSIDE, IL. 60546)",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-354-9250",
"fax_number": "708-354-8765"
}
],
"practiceLocations": [
{
"address_1": "1001 Commerce Dr Ste 500",
"address_purpose": "LOCATION",
"city": "Oak Brook",
"state": "IL",
"postal_code": "605238865",
"country_code": "US",
"telephone_number": "331-732-4630",
"fax_number": "331-732-4631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKEEFE",
"first_name": "JULIE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "36100041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36100041",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jokeefe15431@direct.luhs.org",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2160 S 1st Ave",
"address_2": "( 1950 S. Harlem Ave, No Riverside, IL. 60546)",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "60153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.