Active NPI
Sanitas Medical Group SC
- Internal Medicine Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SANITAS MEDICAL GROUP SC
- Practice address
- 1301 Copperfield Ave
Suite 203
Joliet, IL 60432-2056 - Phone
- (815) 727-4292
- Fax
- (815) 727-5395
- NPI assigned
- May 11, 2007
- Last updated
- Jan 5, 2012
- 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. Jose Antonio Penaherrera, M.D.
- Title
- President
- Phone
- (815) 727-4292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1301 Copperfield Ave
Suite 203
Joliet, IL 60432-2056
Mailing address
1301 Copperfield Ave
Suite 203
Joliet, IL 60432-2056
Phone (815) 727-4292
National Provider Directory
National Provider DirectoryLocations
1301 Copperfield Ave
Ste 203
Joliet, IL 60432
Phone (815) 727-4292
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- New Lenox, IL
- NPI 1073649141
-
- Internal Medicine Physician
- Joliet, IL
- NPI 1144356213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325721600000",
"number": "1861607285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 COPPERFIELD AVE",
"address_2": "SUITE 203",
"city": "JOLIET",
"state": "IL",
"postal_code": "604322056",
"telephone_number": "815-727-4292",
"fax_number": "815-727-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 COPPERFIELD AVE",
"address_2": "SUITE 203",
"city": "JOLIET",
"state": "IL",
"postal_code": "604322056",
"telephone_number": "815-727-4292",
"fax_number": "815-727-5395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANITAS MEDICAL GROUP SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2012-01-05",
"status": "A",
"authorized_official_last_name": "PENAHERRERA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-727-4292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.