Sanitas Medical Group SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Julia Jaime, M.D.

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1144356213
  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "9928146",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne Sanchez, PT
• Angela J Sanders, LCPC
• Louis Sandler, PHD, BCBA-D
• Chris Sandvick, LCSW
• Jenny Sanguenza, NP
• Denise Santacruz
• Kelly Santiago, O.T.
• Steven M Santolin, D.C.
• Hannah Marie Santoro, OTR/L
• Sarah Lennon Speech Therapy PLLC

• Internal Medicine Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Internal Medicine Physician in Illinois

• 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.

Verify at the official NPI Registry.