Organization Active NPI

Presence Central and Suburban Hospitals Network

  • Surgical Oncology Physician
  • Joliet, IL
National Provider Identifier
1760868871
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Practice address
333 Madison St
Joliet, IL 60435-8200
Phone
(815) 725-7133
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Deborah Schimerowski
Title
Rfo
Phone
(815) 725-7133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

333 Madison St
Joliet, IL 60435-8200

Mailing address

333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133

Other names 1

  • PSJMC Surgical Oncologist Doing business as

National Provider Directory

National Provider Directory

Locations

33293 Collection Ctr Dr
Chicago, IL 60693

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1760868871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHIMEROWSKI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "RFO",
        "authorized_official_telephone_number": "815-725-7133"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSJMC Surgical Oncologist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.