Active NPI
Cardinal Care Medical of Illinois PC
- Case Management Agency
- Glencoe, IL
National Provider Identifier
1639903149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CARDINAL CARE MEDICAL OF ILLINOIS PC
- Practice address
- 500 Adams Ave
Glencoe, IL 60022-1865 - Phone
- (941) 718-9000
- NPI assigned
- Aug 27, 2024
- Last updated
- Aug 27, 2024
- 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
- Vincent Pantone
- Title
- Cmo
- Phone
- (941) 718-9000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
500 Adams Ave
Glencoe, IL 60022-1865
Mailing address
500 Adams Ave
Glencoe, IL 60022-1865
Phone (941) 718-9000
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1710150263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1639903149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ADAMS AVE",
"city": "GLENCOE",
"state": "IL",
"postal_code": "600221865",
"telephone_number": "941-718-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ADAMS AVE",
"city": "GLENCOE",
"state": "IL",
"postal_code": "600221865",
"telephone_number": "941-718-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL CARE MEDICAL OF ILLINOIS PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "PANTONE",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "941-718-9000"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glencoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.