NPIMap

Organization Active NPI

B&a Health Provider LLC

  • Family Medicine Physician
  • Darien, IL
National Provider Identifier
1699377200
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
B&A HEALTH PROVIDER LLC
Practice address
1450 Plainfield Rd Ste 5
Darien, IL 60561-5944
Phone
(708) 846-4972
NPI assigned
Nov 10, 2020
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Annaliza S Teano
Title
President
Phone
(708) 846-4972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1450 Plainfield Rd Ste 5
Darien, IL 60561-5944

Mailing address

507 W Walnut Ave
Des Plaines, IL 60016-5817
Phone (224) 251-8149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210326001042 IL Part B Supplier - Clinic/Group Practice 8729495312 Receives reassigned benefits from 10 practitioners
Practice locations: Darien, IL

National Provider Directory

National Provider Directory

Locations

1450 Plainfield Rd
Ste 5
Darien, IL 60561
Phone (708) 846-4972

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1699377200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W WALNUT AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165817",
            "telephone_number": "224-251-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PLAINFIELD RD STE 5",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615944",
            "telephone_number": "708-846-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&A HEALTH PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "TEANO",
        "authorized_official_first_name": "ANNALIZA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-846-4972"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.