Active NPI
John O Palmer, MD
- Internal Medicine Physician
- Aurora, IL
National Provider Identifier
1598778706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-060807
- Practice address
- 2285 Sequoia Dr
Aurora, IL 60506-6209 - Phone
- (630) 859-6910
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-060807 | IL | Primary |
Addresses
Primary practice location
2285 Sequoia Dr
Aurora, IL 60506-6209
Mailing address
2357 Sequoia Dr
Aurora, IL 60506-6222
Phone (630) 859-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036060807 | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-060807 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1598778706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2357 SEQUOIA DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605066222",
"telephone_number": "630-859-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 SEQUOIA DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605066209",
"telephone_number": "630-859-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JOHN",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-060807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036060807",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.