Organization Active NPI

Xavier W. Parreno, M.D., S.C.

  • Internal Medicine Physician
  • Gurnee, IL
National Provider Identifier
1386850378
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
XAVIER W. PARRENO, M.D., S.C.
Practice address
135 Greenleaf St
Suite 100
Gurnee, IL 60031-3334
Phone
(847) 336-2150
Fax
(847) 336-2160
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Dr. Xavier W Parreno, M.D.NPI 1023085479
Title
Owner
Phone
(847) 336-2150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

135 Greenleaf St
Suite 100
Gurnee, IL 60031-3334

Mailing address

135 Greenleaf St
Suite 100
Gurnee, IL 60031-3334
Phone (847) 336-2150

Other identifiers 2

IdentifierTypeStateIssuer
DF7056OtherILRAILROAD MEDICARE
036097735MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090120000130 IL Part B Supplier - Clinic/Group Practice 2163585076 Receives reassigned benefits from 1 practitioner
Practice locations: Addison, IL; Zion, IL; Waukegan, IL; Lindenhurst, IL; Lincolnwood, IL; Libertyville, IL; Gurnee, IL

National Provider Directory

National Provider Directory

Locations

4259 Commercial Way
Glenview, IL 60025
Phone (847) 297-4444

135 N Greenleaf St
Ste 100
Gurnee, IL 60031
Phone (847) 244-7223

115 W Church St
Libertyville, IL 60048
Phone (847) 362-2900

1111 N Plaza Dr
Ste 585
Schaumburg, IL 60173
Phone (847) 330-1406

2504 Washington St
Ste 502
Waukegan, IL 60085
Phone (847) 336-2376

2605 Grand Ave
Waukegan, IL 60085
Phone (847) 336-2150

2629 Sheridan Rd
Zion, IL 60099
Phone (847) 731-8332

Practitioners & affiliated clinicians

Practitioners 2

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1386850378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GREENLEAF ST",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313334",
            "telephone_number": "847-336-2150",
            "fax_number": "847-336-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GREENLEAF ST",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313334",
            "telephone_number": "847-336-2150",
            "fax_number": "847-336-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER W. PARRENO, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "PARRENO",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-336-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "RAILROAD MEDICARE",
            "identifier": "DF7056",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097735",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.