Nicholas Cannataro, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.004609 Issued in IL

Practice address

1355 Remington Rd
Schaumburg, IL 60173-4832

Phone

(630) 912-2930

NPI assigned

Oct 7, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1588034292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 REGENCY DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734832",
            "telephone_number": "630-912-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNATARO",
        "first_name": "NICHOLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004609",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Campbell-Solak, LCSW
• Michael Camporese, APN
• Malina Campos, FNP-C
• Melinda Canaday
• Evelyn Canelo
• Kelsey Cannizzo
• Angela Joy Canton, LPC
• Virginia Cantore, PSYD
• Eugenia Chen Caputo, M.A.CCC-SLP
• Sonia Milagro Caraballo-Cartagena, MD

• Physician Assistant in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.