Jolly Nurse Practitioner Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

JOLLY NURSE PRACTITIONER INC

Practice address

2312 Touhy Ave
Elk Grove Village, IL 60007-5329

Phone

(847) 515-1505

NPI assigned

Dec 3, 2016

Organization subpart

No

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

Authorized official

Name

James Palazzo

Title

Ceo

Phone

(847) 515-1505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673136000000",
    "number": "1649714072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BOND ST STE 151",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605630137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 TOUHY AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600075329",
            "telephone_number": "847-515-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLY NURSE PRACTITIONER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-515-1505"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Johnson, D.O.
• Jaicey Johnson, FNP
• Jessica Danielle Johnson, M.D.
• Maureen Johnson, PHARMD
• Peter J. Johnson, MD
• Dennis Robert Jones, M.S., OTR/L
• Lynwood Alexander Jones III, M.D.
• Patricia Jonker, LPC
• Susan Jordan, NP
• Poonam D Joshi, M.D.

• Nurse Practitioner in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; 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.