Individual provider Active NPI

George Pitsilos, M.D.

  • Internal Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1487660148
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036113742 Issued in IL
Practice address
1502 Elmhurst Rd
Elk Grove Village, IL 60007-6421
Phone
(847) 228-0515
Fax
(847) 228-8371
NPI assigned
Aug 1, 2006
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036113742 IL Primary

Addresses

Primary practice location

1502 Elmhurst Rd
Elk Grove Village, IL 60007-6421

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

550 E Boughton Rd Ste 140
Bolingbrook, IL 60440-2192
Phone (630) 972-0733

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gpitsilos280729@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000304 IL Practitioner - Internal Medicine 2466460704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Care LTDGroup PAC ID 4880762483, 2 clinicians

Practice addresses (Care Compare)

550 E Boughton Rd
Suite 140
Bolingbrook, IL 60440-2192
Phone (630) 972-0733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036113742ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Care, LTD Internal Medicine CurrentSince May 23, 2011 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 1, 2014 Accepting new patients

Locations

550 E Boughton Rd
Ste 140
Bolingbrook, IL 60440
Phone (630) 226-9950

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1502 Elmhurst Rd
Elk Grove Village, IL 60007
Phone (847) 228-0515

Interoperability endpoints

  • Direct secure messaging: gpitsilos280729@direct.myadvocateaurora.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1487660148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 ELMHURST RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600076421",
            "telephone_number": "847-228-0515",
            "fax_number": "847-228-8371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 E Boughton Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604402192",
            "country_code": "US",
            "telephone_number": "630-972-0733",
            "fax_number": "630-972-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITSILOS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpitsilos280729@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1502 Elmhurst Rd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600076421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1502 Elmhurst Rd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600076421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.