Organization Active NPI

Daniel a Pacella DO PC

  • Surgery Physician
  • Orland Park, IL
National Provider Identifier
1376721415
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0361602369 Issued in IL
Legal business name
DANIEL A PACELLA DO PC
Practice address
16522 106TH CT
Orland Park, IL 60467-4547
Phone
(708) 361-2266
Fax
(708) 361-3200
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Daniel A Pacella, DO
Title
General Surgeon
Phone
(708) 227-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 0361602369 IL Primary

Addresses

Primary practice location

16522 106TH CT
Orland Park, IL 60467-4547

Mailing address

4N048 Norton Lake Dr
St Charles, IL 60175-8564
Phone (708) 227-7751

National Provider Directory

National Provider Directory

Locations

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1376721415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N048 NORTON LAKE DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758564",
            "telephone_number": "708-227-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16522 106TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674547",
            "telephone_number": "708-361-2266",
            "fax_number": "708-361-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A PACELLA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "PACELLA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "708-227-7751",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "0361602369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.