Carol Perenchio, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209000834 Issued in IL

Practice address

934 Center St
Sherman Hospital Emergency Department
Elgin, IL 60120-2125

Phone

(847) 429-8750

Fax

(847) 429-8978

NPI assigned

Jul 19, 2005

Last updated

Oct 26, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Elgin Emergency Specialists LTD

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1134152366
  NPD (past)
• Washington Regional Medical System

  dba Washington Regional Family Clinic - Springdale

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1326376419
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1306845789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E BROADWAY AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147102",
            "telephone_number": "815-477-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CENTER ST",
            "address_2": "SHERMAN HOSPITAL EMERGENCY DEPARTMENT",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202125",
            "telephone_number": "847-429-8750",
            "fax_number": "847-429-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERENCHIO",
        "first_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209000834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Peneschi
• April Rene Penkala, PA-C
• Ana Karen Perales
• Angelina Peralez, CADC
• Tatiana Pereira Dacunha, M.D.
• Jacqueline Perez
• Nadia I Perez
• Pablo Ermelo G Perez, MD
• Samuel Perez
• Rebecca Perfect

• Nurse Practitioner in Elgin, IL
• Providers in Elgin, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.