Active NPI
William Piccione MD LLC
- Vascular Surgery Physician
- Oak Park, IL
National Provider Identifier
1740468545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036074399
- Legal business name
- WILLIAM PICCIONE MD LLC
- Practice address
- 610 S Maple
Ste 2800
Oak Park, IL 60304-1091 - Phone
- (312) 563-4120
- Fax
- (312) 563-4127
- NPI assigned
- Feb 4, 2008
- 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
- William Piccione
- Title
- Owner
- Phone
- (312) 563-4120
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 036074399 | IL | Primary |
Addresses
Primary practice location
610 S Maple
Ste 2800
Oak Park, IL 60304-1091
Mailing address
610 S Maple
Ste 2800
Oak Park, IL 60304-1091
Phone (312) 563-4120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036074399 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
610 S Maple Ave
Ste 2800
Oak Park, IL 60304
Phone (312) 563-4120
1000 Skokie Blvd
Ste 360
Wilmette, IL 60091
Phone (847) 256-8600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Oak Park, IL
- NPI 1982768461
-
- Emergency Medicine Physician
- Lawrence, MA
- NPI 1790760429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369267200000",
"number": "1740468545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S MAPLE",
"address_2": "STE 2800",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041091",
"telephone_number": "312-563-4120",
"fax_number": "312-563-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S MAPLE",
"address_2": "STE 2800",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041091",
"telephone_number": "312-563-4120",
"fax_number": "312-563-4127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM PICCIONE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-04",
"last_updated": "2013-05-23",
"status": "A",
"authorized_official_last_name": "PICCIONE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-563-4120"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036074399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036074399",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.