Provider Demographics
NPI:1700479987
Name:TELEMEDICO PHYSICIANS PULMONARY PC
Entity Type:Organization
Organization Name:TELEMEDICO PHYSICIANS PULMONARY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:OKNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-227-3606
Mailing Address - Street 1:550 W FRONTAGE RD STE 3700
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1221
Mailing Address - Country:US
Mailing Address - Phone:866-227-3606
Mailing Address - Fax:
Practice Address - Street 1:9101 N AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-7295
Practice Address - Country:US
Practice Address - Phone:866-277-3606
Practice Address - Fax:847-881-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty