Pioneer Physicians S C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PIONEER PHYSICIANS S C

Practice address

7124 W 83Rd St
Bridgeview, IL 60455-4034

Phone

(708) 907-3422

Fax

(708) 907-3586

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Adrianne Allen

Title

Biller

Phone

(708) 907-3422

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1114385333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554034",
            "telephone_number": "708-907-3422",
            "fax_number": "708-907-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554034",
            "telephone_number": "708-907-3422",
            "fax_number": "708-907-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHYSICIANS S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "708-907-3422"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400115929",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Paolini
• Justin Park, DPT
• Pavilion of Bridgeview LLC
• Pearle Vision Center
• Anita Elaine Pearson, O.D.
• Mihaela Popa
• Kathleen J Porter, PHARM D
• Miles Vincent Prato, PHARMD
• Precious Home Foot Care Inc
• Precious Home Foot Care Inc.

• Internal Medicine Physician in Bridgeview, IL
• Providers in Bridgeview, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.