Individual provider Active NPI

Alice Batol-del Rosario, M.D.

  • General Practice Physician
  • Orland Park, IL
National Provider Identifier
1841500949
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036048686 Issued in IL
Practice address
15390 Raintree Dr
Orland Park, IL 60462-6750
Phone
(708) 460-7496
Fax
(708) 598-2717
NPI assigned
Oct 7, 2010
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036048686 IL Primary

Addresses

Primary practice location

15390 Raintree Dr
Orland Park, IL 60462-6750

Mailing address

15390 Raintree Dr
Orland Park, IL 60462-6750
Phone (708) 460-7496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427000341 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6800195769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1841500949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15390 RAINTREE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626750",
            "telephone_number": "708-460-7496",
            "fax_number": "708-598-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15390 RAINTREE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626750",
            "telephone_number": "708-460-7496",
            "fax_number": "708-598-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATOL-DEL ROSARIO",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036048686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.