Individual provider Active NPI

Frances Gulotta Deppe, MD

  • Physical Medicine & Rehabilitation Physician
  • Joliet, IL
National Provider Identifier
1942215223
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036062212 Issued in IL
Practice address
310 N Hammes Ave
Ste 202
Joliet, IL 60435-8118
Phone
(815) 741-2201
Fax
(815) 741-2285
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036062212 IL Primary

Addresses

Primary practice location

310 N Hammes Ave
Ste 202
Joliet, IL 60435-8118

Mailing address

310 N Hammes Ave
Ste 202
Joliet, IL 60435-8118
Phone (815) 741-2201

Other identifiers 2

IdentifierTypeStateIssuer
036062212MedicaidIL
09932105OtherILBC/BS

Other names 1

  • Dr. Frances Gulotta Deppe Professional 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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036062212ILMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1942215223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE",
            "address_2": "STE 202",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358118",
            "telephone_number": "815-741-2201",
            "fax_number": "815-741-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE",
            "address_2": "STE 202",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358118",
            "telephone_number": "815-741-2201",
            "fax_number": "815-741-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPE",
        "first_name": "FRANCES",
        "middle_name": "GULOTTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036062212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062212",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "09932105",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "DEPPE",
            "middle_name": "GULOTTA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 21, 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.