Active NPI
West Loop University Medicine, LTD.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1730154030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WEST LOOP UNIVERSITY MEDICINE, LTD.
- Practice address
- 1725 W Harrison St
Suite 774
Chicago, IL 60612-3841 - Phone
- (312) 942-6013
- Fax
- (312) 829-2024
- NPI assigned
- Feb 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph J Hennessy, M.D.
- Title
- President
- Phone
- (630) 718-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1725 W Harrison St
Suite 774
Chicago, IL 60612-3841
Mailing address
1730 Park St
Suite 101
Naperville, IL 60563-2688
Phone (630) 718-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160378251 | Other | IL | BLUE CROSS / BLUE SHIELD |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- frankkelly@wluml.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1265407209
-
- Internal Medicine Physician
- Southbury, CT
- NPI 1457326787
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1831164888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730154030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 PARK ST",
"address_2": "SUITE 101",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632688",
"telephone_number": "630-718-0200",
"fax_number": "630-718-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 774",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-6013",
"fax_number": "312-829-2024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST LOOP UNIVERSITY MEDICINE, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENNESSY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-718-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "0160378251",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- West Loop Family Dental LLC
- West Loop Medical Equipment and Supplies, Inc.
- West Loop Psychiatry, PLLC
- West Loop Smile Studio
- West Loop Speech Therapy LLC
- West Meets East Acupuncture LLC
- West Ridge Rehabilitation Center, LLC
- West Suburban Cardiologists, LTD.
- West Suburban Health Providers, Inc
- West Suburban Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.