Mario Prete, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36074011 Issued in IL

Practice address

2363 63Rd St
Woodridge, IL 60517-1369

Phone

(630) 716-7510

NPI assigned

May 5, 2006

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mario.prete.1@380.direct.athenahealth.com

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1881642114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 63RD ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171369",
            "telephone_number": "630-716-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 63RD ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171369",
            "telephone_number": "630-716-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETE",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36074011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074011",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mario.prete.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2363 63rd St",
            "city": "Woodridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605171369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaleesa Pirtle, LCPC
• Carla L Pister
• Podiatric Management Systems LLC (Leonard Vekkos, DPM)
• Kevin R Polsley, M.D.
• Leo J Prentice, O.D.
• Professional Eye Care
• David Protaziuk, FNP
• Fariha Querishi, D.M.D.
• Monina Valencia Quiroga, PT
• Catherine Marie Racanelli, MASSAGE THERAPIST

• Internal Medicine Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.