Denise Olivieri-Sulo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36066514 Issued in IL

Practice address

2160 S 1St Ave
(16621 S. 107TH CRT., Orland Park, Il. 60467)
Maywood, IL 60153

Phone

(708) 873-7350

Fax

(708) 460-6138

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Loyola University Physician Foundation

  • General Practice Physician
  • Maywood, IL
  • NPI 1235148891
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1649244765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "(16621 S. 107TH CRT., ORLAND PARK, IL. 60467)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-873-7350",
            "fax_number": "708-460-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "(16621 S. 107TH CRT., ORLAND PARK, IL. 60467)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-873-7350",
            "fax_number": "708-460-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIERI-SULO",
        "first_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36066514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36066514",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Okafor
• J Paul Okeefe, MD
• Julie C Okeefe, MD
• Roberto Oleas, MD
• Nicholas Emerson Olin
• John Fredrick Olivieri Jr.
• Nicholas Olivieri
• Rachael Corey Olson-Marszewski, MD
• Mary Olson, MD
• Moira Gilroy Olson, APRN

• Internal Medicine Physician in Maywood, IL
• Providers in Maywood, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.