Individual provider Active NPI

Joao Vicente Busnello, M.D.

  • Psychiatry Physician
  • Des Plaines, IL
National Provider Identifier
1932433745
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036131768 Issued in IL
Practice address
555 Wilson LN
Des Plaines, IL 60016-4729
Phone
(844) 756-8600
NPI assigned
Sep 25, 2009
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036131768 IL Primary

Addresses

Primary practice location

555 Wilson LN
Des Plaines, IL 60016-4729

Mailing address

100 E 14TH St Apt 2501
Chicago, IL 60605-3674
Phone (312) 608-6356

Other practice location 1

100 E 14th St Apt 2501
Chicago, IL 60605-3674
Phone (312) 608-6356

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
I20131018001505 IL Practitioner - Psychiatry 6406081892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago BH Hospital LLCGroup PAC ID 4284021262, 3 clinicians

Practice addresses (Care Compare)

4720 N Clarendon Ave
Chicago, IL 60640-5122
Phone (773) 878-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-131768ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago BH Hospital, LLC Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Chicago BH Hospital, LLC CurrentSince Jul 1, 2022 Accepting new patients
Lutheran Social Services of Illinois Past Accepting new patients

Locations

4720 N Clarendon Ave
Chicago, IL 60640
Phone (773) 313-4401

4840 N Marine Dr
Chicago, IL 60640
Phone (773) 878-9700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1932433745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 14TH ST APT 2501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053674",
            "telephone_number": "312-608-6356",
            "fax_number": "312-942-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WILSON LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164729",
            "telephone_number": "844-756-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 14th St Apt 2501",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606053674",
            "country_code": "US",
            "telephone_number": "312-608-6356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSNELLO",
        "first_name": "JOAO",
        "middle_name": "VICENTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036131768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.