Individual provider Active NPI

Daniel R Co, MD

  • Internal Medicine Physician
  • Lockport, IL
National Provider Identifier
1609858547
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036087966 Issued in IL
Practice address
300 Read St
Ste C
Lockport, IL 60441-3265
Phone
(815) 838-7965
Fax
(815) 300-3784
NPI assigned
Nov 16, 2005
Last updated
Aug 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036087966 IL Primary

Addresses

Primary practice location

300 Read St
Ste C
Lockport, IL 60441-3265

Mailing address

300 Read St
Ste C
Lockport, IL 60441-3265
Phone (815) 838-7965

Other names 1

  • Mrs. Jill A. Brown Other name

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
I20070911000586 IL Practitioner - Internal Medicine 6608969357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Service Systems, IncGroup PAC ID 2264408699, 63 clinicians

Practice addresses (Care Compare)

15505 E 127TH St
Lemont, IL 60439-4433
Phone (630) 243-8888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Systems, Inc CurrentSince Jan 1, 2025 Accepting new patients
Health Service Systems, Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

15505 E 127th St
Lemont, IL 60439
Phone (630) 243-8888

300 Read St
Ste C
Lockport, IL 60441
Phone (815) 838-7965

1851 Silver Cross Blvd
Ste 120
New Lenox, IL 60451

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

Organizations & group practices 3

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 3

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1609858547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 READ ST",
            "address_2": "STE C",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413265",
            "telephone_number": "815-838-7965",
            "fax_number": "815-300-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 READ ST",
            "address_2": "STE C",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413265",
            "telephone_number": "815-838-7965",
            "fax_number": "815-300-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036087966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BROWN",
            "middle_name": "A.",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lockport, IL

Sources for this page

Verify at the official NPI Registry.