Active NPI
Jean Houlihan, MD
- Internal Medicine Physician
- Warrenville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036085979
- Practice address
- 430 Warrenville Rd
Warrenville, IL 60532 - Phone
- (630) 432-6180
- NPI assigned
- Oct 5, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036085979 | IL | Primary |
Addresses
Primary practice location
430 Warrenville Rd
Warrenville, IL 60532
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085979 | Medicaid | IL | |
| P00736418 | Other | IL | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhoulihan885@dulyhealthandcare.direct-ci.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070417000314 | IL | Practitioner - Internal Medicine | 5890890073 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rush Medical College of Rush University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dupage Medical Group LTD
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Gibson Community Hospital Association | 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
430 Warrenville Rd
#210
Lisle, IL 60532
Phone (630) 432-6180
430 Warrenville Rd
Lisle, IL 60532
Phone (630) 432-6180
430 Warrenville Rd
Ste 210
Lisle, IL 60532
Phone (630) 432-6180
120 Spalding Dr
Naperville, IL 60540
Phone (630) 527-5575
Interoperability endpoints
- jhoulihan885@dulyhealthandcare.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Multi-Specialty Clinic/Center
- Naperville, IL
- NPI 1831149889
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1952398885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WARRENVILLE RD",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "60532",
"telephone_number": "630-432-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOULIHAN",
"first_name": "JEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036085979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085979",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00736418",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhoulihan885@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "430 Warrenville Rd",
"city": "Warrenville",
"state": "IL",
"country_code": "US",
"postal_code": "60532",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.