Individual provider Active NPI

Antonio Paolo Carlino, D.O.

  • Family Medicine Physician
  • Bolingbrook, IL
National Provider Identifier
1851354187
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036091918 Issued in IL
Practice address
550 E Boughton Rd
265
Bolingbrook, IL 60440-2100
Phone
(630) 739-2878
Fax
(630) 739-6147
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036091918 IL Primary

Addresses

Primary practice location

550 E Boughton Rd
265
Bolingbrook, IL 60440-2100

Mailing address

550 E Boughton Rd
265
Bolingbrook, IL 60440-2100
Phone (630) 739-2878

Other practice location 1

6155 Grand Ave Ste 100
Gurnee, IL 60031-1651
Phone (224) 271-6700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000299 IL Practitioner - Family Practice 5991835662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6155 Grand Ave
Suite 100
Gurnee, IL 60031-1651
Phone (224) 271-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Apr 15, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 15, 2021 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

6155 Grand Ave
Ste 100
Gurnee, IL 60031
Phone (224) 271-6700

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1851354187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD",
            "address_2": "265",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402100",
            "telephone_number": "630-739-2878",
            "fax_number": "630-739-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD",
            "address_2": "265",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402100",
            "telephone_number": "630-739-2878",
            "fax_number": "630-739-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6155 Grand Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600311651",
            "country_code": "US",
            "telephone_number": "224-271-6700",
            "fax_number": "224-271-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLINO",
        "first_name": "ANTONIO",
        "middle_name": "PAOLO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036091918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.