Active NPI
Nancy Areli Pantoja
- Social Worker
- Round Lake Beach, IL
National Provider Identifier
1770039083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 519 Meadow Green LN
Round Lake Beach, IL 60073-1355 - Phone
- (224) 735-8722
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
519 Meadow Green LN
Round Lake Beach, IL 60073-1355
Mailing address
519 Meadow Green
Round Lake, IL 60073
Phone (224) 735-8722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1770039083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 MEADOW GREEN",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "60073",
"telephone_number": "224-735-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 MEADOW GREEN LN",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600731355",
"telephone_number": "224-735-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTOJA",
"first_name": "NANCY",
"middle_name": "ARELI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Lake Beach, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.