Active NPI
Peter T. Senatore, D.O.
- Family Medicine Physician
- Grayslake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036056034
- Practice address
- 15 Commerce Dr Ste 113
Grayslake, IL 60030-7807 - Phone
- (847) 231-5300
- Fax
- (847) 231-5303
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036056034 | IL | Primary |
Addresses
Primary practice location
15 Commerce Dr Ste 113
Grayslake, IL 60030-7807
Mailing address
15 Commerce Dr Ste 113
Grayslake, IL 60030-7807
Phone (847) 231-5300
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Illinois PLLC | Specialist | Current | Accepting new patients |
| Waukegan Clinic Corp | Family Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| Ctca Physicians Group of Illinois, LLC | Specialist | Past | Accepting new patients |
| Ctca Physicians Group of Illinois, Inc | Past | Accepting new patients |
Locations
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
15 Commerce Dr
Ste 113
Grayslake, IL 60030
Phone (847) 231-5300
200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
Organizations & group practices 6
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.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
-
- Hematology & Oncology Physician
- Gurnee, IL
- NPI 1093142135
-
- Medical Oncology Physician
- Chicago, IL
- NPI 1073015236
-
- Specialist
- Zion, IL
- NPI 1699763185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1700865656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 COMMERCE DR STE 113",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307807",
"telephone_number": "847-231-5300",
"fax_number": "847-231-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COMMERCE DR STE 113",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307807",
"telephone_number": "847-231-5300",
"fax_number": "847-231-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENATORE",
"first_name": "PETER",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036056034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.