John V Jurica, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

375 N Wall St
Suite P510
Kankakee, IL 60901-3483

Phone

(815) 935-1787

Fax

(815) 935-2248

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice of Kankakee Valley, Inc.

  • Community Based Hospice Care Agency
  • Bourbonnais, IL
  • NPI 1811935240

  Corporate Director

  CMS ownership

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.

• Lake County Immediate Care, LLC

  dba PromptMed Urgent Care

  • Urgent Care Clinic/Center
  • Waukegan, IL
  • NPI 1285048975

  Family Medicine

  Medicare reassignment NPD Authorized official
• Lake County Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Antioch, IL
  • NPI 1265090849
  NPD Authorized official
• Lake County Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Highland Park, IL
  • NPI 1508633074
  NPD (past) Authorized official
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669556593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WALL ST",
            "address_2": "SUITE P510",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013483",
            "telephone_number": "815-935-1787",
            "fax_number": "815-935-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N WALL ST",
            "address_2": "SUITE P510",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013483",
            "telephone_number": "815-935-1787",
            "fax_number": "815-935-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURICA",
        "first_name": "JOHN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B. Pigato, LTD
• Joseph B. Pigato, LTD
• Dhruv Joshi, DO
• Breanna Joslin, COTA/L
• Maged Joudeh, PHARM. D.
• Timothy William Kane, CRNA
• Kankakee Area Pharmacy Inc
• Kankakee Area Special Education Coop
• Kankakee Area Special Education Cooperative
• Kankakee Autism Care Therapy

• Family Medicine Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.