Individual provider Active NPI

Leo JC Gabriel Pazon, MD

  • Family Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1972009900
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036157902 Issued in IL
Practice address
1555 Barrington Rd Ste 3450
Hoffman Estates, IL 60169-1031
Phone
(847) 882-2400
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 036157902 IL Primary

Addresses

Primary practice location

1555 Barrington Rd Ste 3450
Hoffman Estates, IL 60169-1031

Mailing address

1555 Barrington Rd Ste 3450
Hoffman Estates, IL 60169-1031
Phone (847) 882-2400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leo.pazon.1@380.direct.athenahealth.com

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
I20210920000482 IL Practitioner - Family Practice 5991102956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 490-6945

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

Hospital & facility affiliations

  • Apex Home Health Care, Inc Home health agency, Westmont, IL, CCN 147921
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157902ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC Family Medicine CurrentSince Sep 7, 2021 Accepting new patients
Poplar Creek Family Practice Family Medicine PastSince Feb 19, 2023 Accepting new patients

Locations

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

1555 N Barrington Rd
Ste 3450
Hoffman Estates, IL 60169
Phone (847) 882-2400

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Interoperability endpoints

  • Direct secure messaging: leo.pazon.1@380.direct.athenahealth.com

Organizations & group practices 2

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 7

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1972009900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD STE 3450",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691031",
            "telephone_number": "847-882-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD STE 3450",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691031",
            "telephone_number": "847-882-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZON",
        "first_name": "LEO",
        "middle_name": "JC GABRIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036157902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leo.pazon.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1555 Barrington Rd Ste 3450",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601691031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.