Trevor John Pfaendtner, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036142825 Issued in IL

Practice address

15900 W 127TH St.
Suite 221a
Lemont, IL 60439

Phone

(312) 421-1016

Fax

(312) 421-1017

NPI assigned

Mar 20, 2014

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trevor.pfaendtner.1@14940.direct.athenahealth.com

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.

• Northwest Community Health Services Inc

  dba NCH Medical Group

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1134433154

  Family Medicine

  Medicare reassignment NPD
• Marathon Health, LLC

  dba Uwc- Lemont

  • Non-Pharmacy Dispensing Site
  • Lemont, IL
  • NPI 1225690118
  NPD
• Marathon Health, LLC

  dba UWC- Lemont

  • Clinic/Center
  • Lemont, IL
  • NPI 1790444115
  NPD
• Northwest Community Health Services Inc

  dba NCH Medical Group

  • Obstetrics Physician
  • Arlington Heights, IL
  • NPI 1467057513
  NPD

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1528485174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST.",
            "address_2": "SUITE 221A",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "312-421-1016",
            "fax_number": "312-421-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST.",
            "address_2": "SUITE 221A",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "312-421-1016",
            "fax_number": "312-421-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAENDTNER",
        "first_name": "TREVOR",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036142825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036142825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpfaendtner111209@direct.nch.org",
            "affiliation": "N",
            "address_1": "199 W Rand Rd",
            "city": "MT Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600561151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard M. Parker, D.D.S.
• David Timothy Pasciak, RPH
• Payal Shah Patel, D.O.
• Pediatric Wellness Center
• Leanne Pender, CCC-SLP
• Taylor Pietras
• PK Chandarana MD LTD
• Pmi Services, LLC
• Lisa C Pocius, MD
• Polish American Medical Center LTD

• Family Medicine Physician in Lemont, IL
• Providers in Lemont, 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 May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.