Look up the most recent NPI and PECOS records

John C. Conroy

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JOHN CONROY.

Based on the most recent information from CMS, provider John C. Conroy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1770626269
Provider Type
Individual
Full Name
Conroy, John C.
Credential
D.O.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/14/2007
Last Updated
3/12/2021

Contact Information

Practice Location

908 N Elm St, Hinsdale, IL 60521-3635

(630) 323-1558

(630) 969-1095

Mailing Location

PO Box 7009, Bolingbrook, IL 60440-7009

(630) 312-7865

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036114546 Illinois

Provider Identifiers

ID	Description	Issuer
ID CN4921	Description Other	Issuer RR MEDICARE

John C. Conroy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Shah, Prachi

Moses, Nicole Dorothy

Holmes, Lisa

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Rajasekhar, Smitha

Ariston Family Medicine, Pc

El-Khalili, Amir

Sleuwen, Leslie

Broderick, Steven