Brendan Allar, PA-C
Individual provider Active NPI Physician Assistant · Park Ridge, IL
NPI 1922482207 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1922482207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-005593 (IL)
- Practice address
- 250 S Northwest Hwy Ste 100
Park Ridge, IL 60068-4237 - Phone
- (773) 631-7898
- Fax
- (773) 631-3005
- NPI assigned
- Jul 16, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Illinois Bone and Joint Institute, LLC
Practice addresses (Care Compare)
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5099
2101 Waukegan Rd
Bannockburn, IL 60015-1836
250 S Northwest Hwy
Park Ridge, IL 60068-4237
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000
Hospital & facility affiliations
- Amita Health Resurrection Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150814013336 | IL | Practitioner - Physician Assistant | 1355656604 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-005593 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute LLC | Current |
Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current |
Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
7447 W Talcott Ave
Ste 500
Chicago, IL 60631
Phone (312) 631-7898
5057 Paysphere Cir
Chicago, IL 60674
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
250 S Northwest Hwy
Ste 100
Park Ridge, IL 60068
Phone (773) 631-7898
Interoperability endpoints
- ballar251772@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-005593 | IL | Yes |
Addresses
Primary practice location
250 S Northwest Hwy Ste 100
Park Ridge, IL 60068-4237
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Other providers in Park Ridge, IL
- Gabriel Aljadeff
- Addie Alkhas
- Reem Alkhawam
- All Naturalist
- All Saints Home Health Services LLC
- Allegiance Patient Advocacy, LLC
- John Allegretti
- Tiara Allegretti
- Kathryn Rose Allen
- Michelle D Allen
All providers in Park Ridge, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.