DR. GREGORY PAUL MACALUSO (NPI# 1831355585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831355585 |
| Entity Type | Individual |
| Full Name | DR. GREGORY PAUL MACALUSO |
| Credential | M.D. |
| Practice Address |
13011 S 104th Ave Ste 100 Palos Park IL 60464-1508 |
| Practice Telephone | 7082743278 |
| Practice Fax Number | 7082743299 |
| Mailing Telephone | 7084783600 |
| Mailing Fax Number | 7084783552 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036117515 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
036117515 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 01621708 | 01 |
| IL | 036117515 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 608034517 | 7088241114 | 7088249341 |
| 19001 Old Lagrange Road, Heart Care Centers of Illinois, S.c., Mokena, IL 604488012 | 7084783600 | 7083902130 |
| 3231 Euclid Ave Ste 201, Berwyn, IL 604023472 | 7087832055 | 7087832181 |
| 4400 W 95th St Ste 6409, Oak Lawn, IL 604532654 | 7086849685 | 7085201875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417024464 | Gregory Paul Macaluso | Dentist | 120 Oak Brook Center Mall, Suite 608, Oak Brook, IL 60523 | 2006-11-28 |
| Street Address |
13011 S 104TH AVE STE 100 |
| City | PALOS PARK |
| State | IL |
| Zip Code | 60464-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749455 | John J Arrotti | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-12 |
| 1942844212 | Courtney Lee Montgomery | Nurse Practitioner | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2019-10-30 |
| 1396065884 | Hong Jun Yun | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464 | 2010-06-07 |
| 1679778716 | Ravi Kumar Ramana | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2007-06-19 |
| 1194789354 | Robert C Prentice | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-14 |
| 1043274145 | Robert A Iaffaldano | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-14 |
| 1932163037 | Thomas T Kason | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-14 |
| 1932163623 | Dominick J Stella | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-12 |
| 1225092992 | Roy C Bliley | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-12 |
| 1528022191 | Peter W Kakavas | Internal Medicine | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2006-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518456102 | Lisa Kay York | Behavior Technician | 8207 Il-83, Palos Park, IL 60464 | 2018-05-09 |
| 1972000479 | Elizabeth Faye Putman | Physical Therapy Assistant | 10300 Village Cir Dr, Peace Village, Palos Park, IL 60464 | 2018-04-11 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1376677625 | Palos C C S D 118 | Local Education Agency (LEA) | 8800 West 119th Street, Palos Park, IL 60464 | 2007-03-16 |
| 1730233297 | Rajitha Lakshmi Avva | Psychiatry & Neurology | Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 | 2007-01-22 |
| 1487714671 | Maple Park Dental Care, P.C. | Dentist | 1048 104th Street, #108, Naperville, IL 60464 | 2006-12-11 |
| 1912065418 | David M Kozal | Dentist | 11900 Sw Hwy, Palos Park, IL 60464 | 2006-12-05 |
| 1598845422 | Michele Antoinette Nealon Woods | Psychologist | Palos Behavioral Health Professionals, 103011 S 104th Ave Suite 200, Palos Park, IL 60464 | 2006-10-16 |
| 1679683585 | Linda G Baer | Psychologist | 13011 104th Ave, Suite 200, Palos Park, IL 60464 | 2006-08-30 |
| 1578507430 | Hugh Michael Oneill | Family Medicine | 14741 Ravinia Ave, Orland Park, IL 60464 | 2006-06-15 |
| Find all providers in zip 60464 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275049876 | Amanda Mcginnis | Internal Medicine | 4440 W 95th St Fl Street6, Oak Lawn, IL 60453-2600 | 2017-12-18 |
| 1750849675 | Karlo Vincent Buenconsejo Benig | Internal Medicine | 4400 W. 95th Street, Opp 6th Floor, Oak Lawn, IL 60453-2654 | 2019-03-10 |
| 1881983575 | Anjali Anil Joshi | Internal Medicine | 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 | 2011-04-04 |
| City | PALOS PARK |
| Zip Code | 60464 |
Please comment or provide details below to improve the information on DR. GREGORY PAUL MACALUSO.
| 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.