Active NPI
Pantaleo J Amoroso, M.D.
- Specialist
- Melrose Park, IL
National Provider Identifier
1376594655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3647630
- Practice address
- 675 W North Ave
Suite 609
Melrose Park, IL 60160-1634 - Phone
- (708) 450-5770
- Fax
- (708) 681-7675
- NPI assigned
- May 12, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 3647630 | IL | Primary |
Addresses
Primary practice location
675 W North Ave
Suite 609
Melrose Park, IL 60160-1634
Mailing address
675 W North Ave
Suite 609
Melrose Park, IL 60160-1634
Phone (708) 450-5770
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21609229 | Other | IL | BCBS IL PROVIDER NO. |
| 3647630 | Other | IL | LICENSE NUMBER |
| 701258 | Other | IL | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3647630 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376594655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE 609",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601634",
"telephone_number": "708-450-5770",
"fax_number": "708-681-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE 609",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601634",
"telephone_number": "708-450-5770",
"fax_number": "708-681-7675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOROSO",
"first_name": "PANTALEO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "3647630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL PROVIDER NO.",
"identifier": "21609229",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "3647630",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "701258",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.