Individual provider Active NPI

Julie Ann Dineen, RTT

  • Radiation Therapy Radiologic Technologist
  • Hazel Crest, IL
National Provider Identifier
1871935403
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X
License
500483727 Issued in IL
Practice address
17750 Kedzie Ave
Hazel Crest, IL 60429-2047
Phone
(708) 799-9995
Fax
(708) 799-8129
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 500482171 IL
Radiation Therapy Radiologic Technologist 2471R0002X 500483727 IL Primary

Addresses

Primary practice location

17750 Kedzie Ave
Hazel Crest, IL 60429-2047

Mailing address

17750 Kedzie Ave
Hazel Crest, IL 60429-2047
Phone (708) 799-9995

Other names 1

  • Miss Julie Ann Lakota Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
500482171ILMDRadiologic Technologist
500483727ILMDRadiation Therapy Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1871935403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17750 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292047",
            "telephone_number": "708-799-9995",
            "fax_number": "708-799-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17750 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292047",
            "telephone_number": "708-799-9995",
            "fax_number": "708-799-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINEEN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "IL",
            "license": "500482171",
            "primary": false
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "IL",
            "license": "500483727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LAKOTA",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "RTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.