Prairie Rheumatology Associates, S.C.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

042618784 Issued in IL

Legal business name

PRAIRIE RHEUMATOLOGY ASSOCIATES, S.C.

Practice address

903 129TH Infantry Dr
Suite 600
Joliet, IL 60435-3170

Phone

(815) 744-7246

Fax

(815) 744-7346

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maria C Sosenko, M.D.NPI 1982658852

Title

President

Phone

(815) 744-7246

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria C Sosenko

  • Rheumatology Physician
  • Chicago, IL
  • NPI 1982658852
  Medicare reassignment NPD Authorized official
• Saba Ahmed

  • Rheumatology Physician
  • Chicago, IL
  • NPI 1861448003
  Medicare reassignment NPD
• Constance J Scholp, APRN

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1518199553
  Medicare reassignment NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1700839602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 600",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353170",
            "telephone_number": "815-744-7246",
            "fax_number": "815-744-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 600",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353170",
            "telephone_number": "815-744-7246",
            "fax_number": "815-744-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE RHEUMATOLOGY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SOSENKO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-744-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "042618784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE6438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0009932427",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura M Potter
• Shayla Powell
• Carol Powers, LPC
• John M Prabhakar, M.D.
• Prairie Emergency Services, SC
• Prairieland Audiology LLC
• Christopher John Pratt, PHARM.D.
• Precision Radiation Oncology LLC
• Precision Surgical Consultants LLC
• Preferred Home Healthcare Providers SC

• Rheumatology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.