JOLIET RADIOLOGICAL SERVICE CORP (NPI# 1295846343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295846343 |
| Entity Type | Organization |
| Organization Name | JOLIET RADIOLOGICAL SERVICE CORP |
| Practice Address |
333 N Madison St Joliet IL 60435 |
| Practice Telephone | 8157417215 |
| Practice Fax Number | 8157417591 |
| Mailing Telephone | 8157417215 |
| Mailing Fax Number | 8157417591 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | DR. MICHAEL ARTHOFER (MD PRES OF CORP) |
| Authorized Official Telephone | 8157417215 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
042000027 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | CN3011 | 01 |
| IL | BLUE SHIELD | 9915352 | 01 |
| IL | HARMONY | N200013 | 01 |
| Street Address |
333 N MADISON ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639107428 | Michael G Arthofer | Radiology | 333 N Madison St, Joliet Radiological Service Corp Provena St Joseph Med, Joliet, IL 60435 | 2006-06-29 |
| 1639527138 | Daewon Kim | Emergency Medicine | 333 N Madison St, Emergency Department, Joliet, IL 60435-8200 | 2016-05-25 |
| 1184701922 | David J Gilmore | Physician Assistant | 333 N Madison St, Joliet, IL 60436 | 2006-11-01 |
| 1235147257 | Michael S Leininger | Physician Assistant | 333 N Madison St, Joliet, IL 60435 | 2006-08-04 |
| 1952325615 | Joliet Hospitalists Group, LLC | Internal Medicine | 333 N Madison St, Joliet, IL 60435 | 2006-07-27 |
| 1588688253 | Folashade Kareem | Internal Medicine | 333 N Madison St, Joliet, IL 60435 | 2006-07-27 |
| 1760406045 | James D Wright | Internal Medicine | 333 N Madison St, Joliet, IL 60435 | 2006-07-27 |
| 1467487348 | Eddie Sullivan | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-11 |
| 1396779773 | Sandra Larson | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-10 |
| 1790719334 | Carolyn H Schimmel | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841423696 | Advanced Medical Imaging of Joliet, LLC | Radiology | 330 N Madison Ave, Joliet, IL 60435-6565 | 2009-08-27 |
| 1760524110 | Harry R Platt | Radiology | 620 Wildwood Dr, Joliet, IL 60431-4891 | 2007-02-13 |
| 1831280494 | Brian Michael Fagan | Radiology | Joliet Radiological Services Corp Provena St. Joesph Me, 333 N Madison St, Joliet, IL 60435 | 2006-09-27 |
| 1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
| 1639107428 | Michael G Arthofer | Radiology | 333 N Madison St, Joliet Radiological Service Corp Provena St Joseph Med, Joliet, IL 60435 | 2006-06-29 |
| 1871561621 | Salvador A. Rinella | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2006-03-09 |
| 1083698831 | Shin I Nam | Radiology | 1200 Maple Road, Joliet, IL 60432-1439 | 2005-12-05 |
| 1669602660 | Noah Robert Schwind | Radiology | 333 Madison St, Joliet, IL 60435-8200 | 2009-07-24 |
| 1437343696 | Gregory D Price | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2007-08-30 |
| 1144379363 | John Scott Groch | Radiology | 333 Madison, St Joseph Medical Center, Joliet, IL 60435-8233 | 2007-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.