Provider Demographics
NPI:1225121528
Name:ALPERT, JOSHUA M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:M
Last Name:ALPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 ROYAL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4719
Mailing Address - Country:US
Mailing Address - Phone:847-931-5300
Mailing Address - Fax:847-931-9072
Practice Address - Street 1:2350 ROYAL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4719
Practice Address - Country:US
Practice Address - Phone:847-931-5300
Practice Address - Fax:847-931-9072
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-044075207XX0005X
IL036120195207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
207906OtherMEDICARE GROUP MCHENRY COUNTY
IL036120195Medicaid
CE6001OtherRAILROAD MEDICARE GRP# KANE COUNTY
4515176OtherBCBS
208821OtherMEDICARE GROUP KANE COUNTY
CG2631OtherRAILROAD MEDICARE MCHENRY CTY
207906OtherMEDICARE GROUP MCHENRY COUNTY
R03311Medicare PIN
CG2631OtherRAILROAD MEDICARE MCHENRY CTY
IL0354460003Medicare NSC
CE6001OtherRAILROAD MEDICARE GRP# KANE COUNTY
208821OtherMEDICARE GROUP KANE COUNTY
IL036120195Medicaid