NPIMap

Organization Active NPI

Jill a. Patterson, MD, S.C.

  • Clinic/Center
  • Mokena, IL
National Provider Identifier
1932400041
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036084102 Issued in IL
Legal business name
JILL A. PATTERSON, MD, S.C.
Doing business as
GENERATION MEDICAL
Practice address
11148 Front St
Mokena, IL 60448-1525
Phone
(708) 478-5763
Fax
(630) 914-2469
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Jill A Patterson, MDNPI 1083642557
Title
Physician
Phone
(708) 478-5763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036084102 IL Primary

Addresses

Primary practice location

11148 Front St
Mokena, IL 60448-1525

Mailing address

11148 Front St
Mokena, IL 60448-1525
Phone (708) 478-5763

Other names 1

  • GENERATION MEDICAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Generation Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1932400041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11148 FRONT ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481525",
            "telephone_number": "708-478-5763",
            "fax_number": "630-914-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11148 FRONT ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481525",
            "telephone_number": "708-478-5763",
            "fax_number": "630-914-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL A. PATTERSON, MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-478-5763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036084102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENERATION MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.