JOSEPH R. MISULONAS MD NPI 1104936392

NPI Information

NPI: 1104936392
Provider Name: JOSEPH R. MISULONAS, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
1229 N NORTH BRANCH ST
SUITE 210
CHICAGO, IL
ZIP 60642
Phone: (312) 939-5090
Get Directions

Joseph R. Misulonas, MD is a geriatric medicine internal medicine in Chicago, IL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Joseph R. Misulonas, MD NPI is 1104936392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1229 N NORTH BRANCH ST
SUITE 210
CHICAGO, IL
ZIP 60642-473
Phone: (312) 939-5090

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		036039467	ILLINOIS	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	036-039467	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036039467	MEDICAID	ILLINOIS
2	K16262	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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