Andres Vega Pacheco

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

229 E Pineview Dr
Round Lake Park, IL 60073-3417

Phone

(224) 368-7679

NPI assigned

Aug 24, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1083381396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E PINEVIEW DR",
            "city": "ROUND LAKE PARK",
            "state": "IL",
            "postal_code": "600733417",
            "telephone_number": "224-368-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E PINEVIEW DR",
            "city": "ROUND LAKE PARK",
            "state": "IL",
            "postal_code": "600733417",
            "telephone_number": "224-368-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA PACHECO",
        "first_name": "ANDRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mano a Mano Family Resource Center Foundation
• Magdalena McElroy, LCSW
• Kelsey Morozin
• Hannah Oluwatosin Oyebanji I
• Julie Anne Tevenan, LSW

• Case Manager/Care Coordinator in Round Lake Park, IL
• Providers in Round Lake Park, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.