Walter A Pedemonte, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Practice address

6551 North Ave
Oak Park, IL 60302-1020

Phone

(708) 445-0480

Fax

(708) 445-0495

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rad Gharavi MD PC

  • Psychiatry Physician
  • Oak Park, IL
  • NPI 1144495144
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669546131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CLINTON PL",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052255",
            "telephone_number": "708-366-4926",
            "fax_number": "708-445-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021020",
            "telephone_number": "708-445-0480",
            "fax_number": "708-445-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDEMONTE",
        "first_name": "WALTER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munirih Peace, MS, RDN, LDN
• Nicholas John Peacock, D.O.
• Peak Behavioral Health (Autism Care Therapy)
• Peak Behavioral Services (Autism Care Therapy)
• Lisa Pearah
• Jenna Pederson
• Pediagroup Associates, S.C.
• Pediatrics Unlimited PLLC
• Pedios, LTD.
• Kayla Pedraza, LCPC

• Child & Adolescent Psychiatry Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.