Individual provider Active NPI

Joseph M Maurice, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1659486413
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-091462 Issued in IL
Practice address
820 S Wood St # Mc808
Chicago, IL 60612-4325
Phone
(312) 996-7006
Fax
(312) 996-4238
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34656 AZ
Obstetrics & Gynecology Physician 207V00000X 036-091462 IL Primary

Addresses

Primary practice location

820 S Wood St # Mc808
Chicago, IL 60612-4325

Mailing address

820 S Wood St # Mc808
Chicago, IL 60612-4325
Phone (312) 996-7006

Other identifiers 1

IdentifierTypeStateIssuer
994310MedicaidAZ

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
I20081010000466 IL Practitioner - Obstetrics/Gynecology 6608880844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 355-6245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34656AZMDObstetrics & Gynecology Physician
036-091462ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Family Medicine CurrentSince Oct 13, 2019 Accepting new patients
Carle Health Care Incorporated Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Family Medicine Past Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

1645 W Jackson Blvd
Chicago, IL 60612
Phone (312) 942-2200

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1645 W Jackson Blvd
Ste 310
Chicago, IL 60612
Phone (312) 850-7798

2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (312) 947-7546

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: jmaurice136461@uihealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1659486413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S WOOD ST # MC808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-7006",
            "fax_number": "312-996-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S WOOD ST # MC808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-7006",
            "fax_number": "312-996-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICE",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "34656",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-091462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994310",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.