Organization Active NPI

Daniel J. Pesavento, M.D.,P.C.

  • Obstetrics & Gynecology Physician
  • Barrington, IL
National Provider Identifier
1538434600
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036065375 Issued in IL
Legal business name
DANIEL J. PESAVENTO, M.D.,P.C.
Practice address
27790 W Highway 22
Suite 37
Barrington, IL 60010-2340
Phone
(847) 382-4406
Fax
(847) 382-7098
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Daniel J Pesvento, M.D.
Title
President
Phone
(847) 382-4406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036065375 IL Primary

Addresses

Primary practice location

27790 W Highway 22
Suite 37
Barrington, IL 60010-2340

Mailing address

27790 W Highway 22
Suite 37
Barrington, IL 60010-2340
Phone (847) 382-4406

Other identifiers 1

IdentifierTypeStateIssuer
036065375MedicaidIL

National Provider Directory

National Provider Directory

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": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1538434600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22",
            "address_2": "SUITE 37",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102340",
            "telephone_number": "847-382-4406",
            "fax_number": "847-382-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22",
            "address_2": "SUITE 37",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102340",
            "telephone_number": "847-382-4406",
            "fax_number": "847-382-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. PESAVENTO, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "PESVENTO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-382-4406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036065375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065375",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.