Active NPI
Rosemary McGrath, MD
- Family Medicine Physician
- Mokena, IL
National Provider Identifier
1710947148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036077425
- Practice address
- 11243 La Porte Rd
Mokena, IL 60448-1374 - Phone
- (708) 479-4681
- Fax
- (708) 479-8516
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036077425 | IL | Primary |
Addresses
Primary practice location
11243 La Porte Rd
Mokena, IL 60448-1374
Mailing address
1860 Payshere Cir
Chicago, IL 60674-1374
Phone (630) 469-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036077425 | Medicaid | IL | |
| 21622783 | Other | IL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036077425 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Therapy Group, LTD | Current | Accepting new patients | |
| Presence Central and Suburban Hospitals Network | Past | Accepting new patients | |
| Dr. Susan Rife Family Medicine SC | Family Medicine | Past | Accepting new patients |
Locations
11243 W La Porte Rd
Mokena, IL 60448
Phone (708) 479-4681
Organizations & group practices 3
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.
-
- Physical Therapist
- Mokena, IL
- NPI 1669480547
-
- Family Medicine Physician
- Orland Park, IL
- NPI 1184602880
-
- Neonatal-Perinatal Medicine Physician
- Joliet, IL
- NPI 1447596630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1710947148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606741374",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11243 LA PORTE RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604481374",
"telephone_number": "708-479-4681",
"fax_number": "708-479-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "ROSEMARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036077425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036077425",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "21622783",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.