Active NPI
Claudia Pulito, PA
- Physician Assistant
- Glenview, IL
National Provider Identifier
1023654498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.007339
- Practice address
- 2501 Compass Rd Ste 105
Glenview, IL 60026-8000 - Phone
- (847) 768-9917
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.007339 | IL | Primary |
Addresses
Primary practice location
2501 Compass Rd Ste 105
Glenview, IL 60026-8000
Mailing address
680 N Lake Shore Dr Ste 1210
Chicago, IL 60611-4490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200224001763 | IL | Practitioner - Physician Assistant | 8921435470 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.007339 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1023654498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 1210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 COMPASS RD STE 105",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600268000",
"telephone_number": "847-768-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULITO",
"first_name": "CLAUDIA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.007339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.