Organization Active NPI

Daniel J. Pesavento, M.D., P.C.

  • Obstetrics Physician
  • Barrington, IL
National Provider Identifier
1275818098
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
036065375 Issued in IL
Legal business name
DANIEL J. PESAVENTO, M.D., P.C.
Practice address
27790 W Highway 22
Suite 37
Barrington, IL 60010-2340
Phone
(847) 382-4406
Fax
(847) 382-7098
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Mrs. Justine R Greenwell
Title
Office Manager
Phone
(847) 382-4406

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 036091317 IL
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X 036065375 IL Primary

Addresses

Primary practice location

27790 W Highway 22
Suite 37
Barrington, IL 60010-2340

Mailing address

27790 W Highway 22
Suite 37
Barrington, IL 60010-2340
Phone (847) 382-4406

National Provider Directory

National Provider Directory

Locations

27790 W Il Route 22
Ste 37
Barrington, IL 60010
Phone (847) 382-4406

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1275818098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22",
            "address_2": "SUITE 37",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102340",
            "telephone_number": "847-382-4406",
            "fax_number": "847-382-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22",
            "address_2": "SUITE 37",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102340",
            "telephone_number": "847-382-4406",
            "fax_number": "847-382-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. PESAVENTO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-382-4406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036091317",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036065375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.