Pioneer Medical Group LTD

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PIONEER MEDICAL GROUP LTD

Practice address

148 S Bolingbrook Dr
Bolingbrook, IL 60440-2852

Phone

(630) 914-5373

Fax

(630) 556-1873

NPI assigned

Oct 30, 2020

Last updated

Feb 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ayman Jabr, MD

Title

Medical Director

Phone

(630) 914-5373

Specialties & licenses 2

Addresses

Practitioners 2

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.

• Lindsay Elizabeth Maskel, FNP

  • Family Nurse Practitioner
  • Bolingbrook, IL
  • NPI 1033889761

  Family Medicine

  NPD
• Raymond Phillip Weiss, M.D.

  • Internal Medicine Physician
  • Chicago Ridge, IL
  • NPI 1528005634
  NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1871193698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402852",
            "telephone_number": "630-914-5373",
            "fax_number": "630-556-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402852",
            "telephone_number": "630-914-5373",
            "fax_number": "630-556-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "JABR",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-914-5373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pillpack LLC (Amazon Pharmacy #065)
• Lindsay Pina Garcia, MS
• Burton Gene Pinchuk, O.D.
• Jonathan K Pinsky, MD
• Pioneer Medical Group LTD
• Daniel R Pitterman, MD
• Pivotal Health and Wellness LLC
• Jayson Podschweit-Maier
• Christine Ashley Poggensee
• Ryan S Pokrywka, DC

• Urgent Care Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.