Active NPI
Jerry D Delrosario Sr., R.R.T
- Pulmonary Function Technologist
- Willowbrook, IL
National Provider Identifier
1942429535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Function Technologist
- Practice address
- 306 79TH St
Willowbrook, IL 60527-2404 - Phone
- (630) 325-2931
- Fax
- (630) 455-1307
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Function Technologist | 225B00000X | IL | Primary |
Addresses
Primary practice location
306 79TH St
Willowbrook, IL 60527-2404
Mailing address
306 79TH St
Willowbrook, IL 60527-2404
Phone (630) 325-2931
Other names 1
- Mr. Jerry D Del Rosario Sr.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 194.003081 | IL | MD | Pulmonary Function Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942429535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 79TH ST",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272404",
"telephone_number": "630-325-2931",
"fax_number": "630-455-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 79TH ST",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272404",
"telephone_number": "630-325-2931",
"fax_number": "630-455-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELROSARIO",
"first_name": "JERRY",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "R.R.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225B00000X",
"taxonomy_group": "",
"desc": "Pulmonary Function Technologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERRY",
"last_name": "DEL ROSARIO",
"middle_name": "D",
"prefix": "MR.",
"suffix": "SR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.