Active NPI
Dr. Anthony Pendolino, LLC
- Internal Medicine Physician
- Plainfield, IL
National Provider Identifier
1508049149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DR. ANTHONY PENDOLINO, LLC
- Practice address
- 15715 S Route 59
Plainfield, IL 60544-2694 - Phone
- (815) 436-1191
- NPI assigned
- Dec 5, 2007
- Last updated
- Jul 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Pendolino, D.C.
- Title
- Managing Member
- Phone
- (815) 436-1191
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
15715 S Route 59
Plainfield, IL 60544-2694
Mailing address
15715 S Route 59
Plainfield, IL 60544-2694
Phone (815) 436-1191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Dr Anthony Pendolino LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Acupuncturist
- Plainfield, IL
- NPI 1861386435
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Plainfield, IL
- NPI 1780779975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595376000000",
"number": "1508049149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15715 S ROUTE 59",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442694",
"telephone_number": "815-436-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15715 S ROUTE 59",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442694",
"telephone_number": "815-436-1191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. ANTHONY PENDOLINO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A",
"authorized_official_last_name": "PENDOLINO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "815-436-1191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.