Pioneer Concierge Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIONEER CONCIERGE MEDICINE, PLLC

Practice address

3633 W Lake Ave Ste 108
Glenview, IL 60026-5801

Phone

(847) 510-2805

Fax

(847) 510-2806

NPI assigned

Aug 26, 2022

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anish Pravin Pithadia, MDNPI 1417074774

Title

Cmo

Phone

(847) 510-2805

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anish Pravin Pithadia, M.D.

  • Family Medicine Physician
  • Glenview, IL
  • NPI 1417074774
  NPD Authorized official
• Evangelos Biscotakis, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1487835138
  NPD
• Mark A Stefaniuk, M.D.

  • Family Medicine Physician
  • Glenview, IL
  • NPI 1013932409
  NPD
• Benedict E Ciszek, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1881898617
  NPD (past)

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1417676891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 108",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265801",
            "telephone_number": "847-510-2805",
            "fax_number": "847-510-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 108",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265801",
            "telephone_number": "847-510-2805",
            "fax_number": "847-510-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CONCIERGE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "PITHADIA",
        "authorized_official_first_name": "ANISH",
        "authorized_official_middle_name": "PRAVIN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "847-510-2805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Piironen, PHARMD
• Lorilee Pilota, COTA/L
• Isaac Octavio Pimentel, PA
• Daniel Joseph Pinkston, DDS
• Azuli M. Pinon
• Crystal Ann Piper, COTA/L
• Charles Nicholas Pistorio, PH.D.
• Anish Pravin Pithadia, M.D.
• Brittany Placek, DC
• Donnamarie Placio, MPT

• Family Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.