Active NPI
Joann Donoghue, DO
- Cardiovascular Disease Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036090527
- Practice address
- 301 Madison St
Suite 207
Joliet, IL 60435-6549 - Phone
- (815) 740-1900
- Fax
- (815) 725-2413
- NPI assigned
- May 22, 2006
- Last updated
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036090527 | IL | Primary |
Addresses
Primary practice location
301 Madison St
Suite 207
Joliet, IL 60435-6549
Mailing address
301 Madison St
Suite 275
Joliet, IL 60435-6549
Phone (815) 740-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036090527 | Medicaid | IL | |
| 396590 | Other | IL | MEDICARE HCC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036090527 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Midwest Heart Specialists, LTD | Cardiovascular Disease | Past | Accepting new patients |
| Edward Cardiovascular Institute | Cardiovascular Disease | Past | Accepting new patients |
| Edward Cardiovascular Institute | Cardiovascular Disease | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
3825 Highland Ave
Ste 400
Downers Grove, IL 60515
Phone (630) 719-4799
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
301 Madison St
Ste 207
Joliet, IL 60435
301 Madison St
Ste 275
Joliet, IL 60435
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
120 Spalding Dr
Ste 102
Naperville, IL 60540
Phone (630) 527-2802
1890 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-2802
1890 Silver Cross Blvd
Ste 240
New Lenox, IL 60451
Phone (815) 485-4469
410 E Lincoln Hwy
Ste 250
New Lenox, IL 60451
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Cardiovascular Disease Physician
- Naperville, IL
- NPI 1649386400
-
- Cardiovascular Disease Physician
- Yorkville, IL
- NPI 1992806517
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Cardiovascular Disease Physician
- Downers Grove, IL
- NPI 1417908765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1902850829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MADISON ST",
"address_2": "SUITE 275",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356549",
"telephone_number": "815-740-1900",
"fax_number": "815-725-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MADISON ST",
"address_2": "SUITE 207",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356549",
"telephone_number": "815-740-1900",
"fax_number": "815-725-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOGHUE",
"first_name": "JOANN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036090527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036090527",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HCC",
"identifier": "396590",
"state": "IL"
}
],
"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 Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.