NPIMap

Individual provider Active NPI

Paul A Chemello, D.O.

  • Family Medicine Physician
  • Frankfort, IL
National Provider Identifier
1952499832
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036080191 Issued in IL
Practice address
21160 S Lagrange Rd
Frankfort, IL 60423-2010
Phone
(815) 469-8806
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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 036080191 IL Primary

Addresses

Primary practice location

21160 S Lagrange Rd
Frankfort, IL 60423-2010

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other identifiers 1

IdentifierTypeStateIssuer
036080191MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address pchemello206063@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000938 IL Practitioner - Family Practice 7214830496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18210 S Lagrange Rd
200 Advocate Med Group
Tinley Park, IL 60487-7725
Phone (708) 479-6636

21160 S Lagrange Rd
Frankfort, IL 60423-2010
Phone (815) 469-8806

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

525 E Congress Pkwy
Crystal Lake, IL 60014-6258

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center Physicians, Let Family Medicine Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 1, 2011 Accepting new patients
Advocate Health & Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Sep 1, 2011 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

1945 W Wilson Ave
Fl 4
Chicago, IL 60640
Phone (773) 736-6220

29373 Network Pl
Chicago, IL 60673

21160 S La Grange Rd
Frankfort, IL 60423
Phone (815) 412-8809

20325 S Graceland Ln
Frankfort, IL 60423
Phone (708) 633-8300

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

Interoperability endpoints

  • Direct secure messaging: pchemello206063@direct.myadvocateaurora.org

Organizations & group practices 5

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 12

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1952499832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21160 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232010",
            "telephone_number": "815-469-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEMELLO",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036080191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080191",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "21160 S LaGrange Rd",
            "city": "Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604232010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pchemello206063@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21160 S LaGrange Rd",
            "city": "Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604232010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.