MOHAMMAD MUNEEB PURI (NPI# 1629266341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629266341 |
| Entity Type | Individual |
| Full Name | MOHAMMAD MUNEEB PURI |
| Credential | MD |
| Practice Address |
2100 Glenwood Ave Joliet IL 60435-5487 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-4442 |
| Practice Telephone | 6308738889 |
| Mailing Telephone | 6304692000 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036.134881 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | D74204 | MD | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 003612 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03239136 | 05 | |
| MD | 230400700 | 05 |
| Street Address |
2100 GLENWOOD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675811 | Timothy Fendon | Emergency Medicine | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2005-08-10 |
| 1396371811 | Leonard Kevyn Banogon Ferolin | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2020-03-16 |
| 1093370611 | Kyle Ren Barcenas Fernando | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2019-05-08 |
| 1376034918 | Kathryn Schroeder | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-05-18 |
| 1033609763 | Matthew Peter Lukanich | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-05-17 |
| 1588151260 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-04-18 |
| 1790284487 | Daniel Capparelli | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-02-08 |
| 1831616044 | Michael John Donovitch | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2017-08-28 |
| 1700309895 | Michael Plachy Jr. | Physical Therapy Assistant | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2017-07-20 |
| 1487189551 | Alyssa Brown | Occupational Therapist | 2100 Glenwood Ave, Suite 110, Joliet, IL 60435-5487 | 2017-04-26 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033270533 | David L Mcfadden | Internal Medicine | 330 Madison St Ste 303, Joliet, IL 60435-6576 | 2006-12-12 |
| 1841308335 | Preeti R Nagarkatte | Internal Medicine | 3100 Theodore Street, Suite 201, Joliet, IL 60435 | 2006-08-26 |
| 1447368949 | Naila I Ahmed | Internal Medicine | 3100 Theodore Street, Ste 201, Joliet, IL 60435 | 2006-08-26 |
| 1629520051 | Dialysis Care Center Holdings LLC | Internal Medicine | 812 Campus Dr, Joliet, IL 60435-5128 | 2016-11-02 |
| 1508238718 | Home Dialysis Services Holdings LLC | Internal Medicine | 812 Campus Dr, Joliet, IL 60435-5128 | 2015-10-27 |
| 1154793354 | Kidney Care Center Holdings LLC | Internal Medicine | 812 Campus Dr, Joliet, IL 60435-5128 | 2015-10-27 |
| 1801267216 | Kidney Care Center Bolingbrook LLC | Internal Medicine | 812 Campus Dr, Suite 1, Joliet, IL 60435-5128 | 2015-10-12 |
| 1043582703 | Rishikesh Morey | Internal Medicine | 812 Campus Dr, Joliet, IL 60435-5128 | 2012-01-27 |
| 1104081009 | Sun Clinic LLC | Internal Medicine | 2121 Oneida St, Joliet, IL 60435-6544 | 2008-07-21 |
| 1275660169 | Bhuvan Chawla | Internal Medicine | 2121 Oneida St, Joliet, IL 60435-6544 | 2007-02-27 |
| Find all providers in JOLIET | ||||
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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.