Joanna E Betancourt, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036101829 Issued in IL

Practice address

600 S Randall Rd
Suite 220
Algonquin, IL 60102-5935

Phone

(847) 854-9402

Fax

(847) 854-9403

NPI assigned

Jul 11, 2005

Sex

Female

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 3

Other names 1

• Joanna E Vasquez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joanna.betancourt.1@11453.direct.athenahealth.com

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.

• Salud Pediatrics SC

  • Pediatrics Physician
  • Algonquin, IL
  • NPI 1801811757
  NPD (past) Authorized official
• Aqua Blue Pediatrics PLLC

  • Pediatrics Physician
  • Ormond Beach, FL
  • NPI 1619829900
  NPD

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1992703227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S RANDALL RD STE 220",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025937",
            "telephone_number": "847-854-9402",
            "fax_number": "847-854-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S RANDALL RD",
            "address_2": "SUITE 220",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025935",
            "telephone_number": "847-854-9402",
            "fax_number": "847-854-9403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 W Granada Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321745163",
            "country_code": "US",
            "telephone_number": "630-464-4928",
            "fax_number": "847-854-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "JOANNA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036101829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101829",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05632081",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL HEALTH CONNECT",
            "identifier": "07100058",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "VASQUEZ",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Bednarz, OT
• Courtney A Behrens, LCSW
• Brittany Lynn Bennett, PA-C
• Tania Benny
• Ellen Berry
• Timothy Mark Beyer, O. D.
• Kimberly A. Bialek, PA-C
• Amber Nicole Bianchi, MT
• Kaja Biel, LPC
• Kirsten Faith Verploegh Binder, LMT

• Pediatrics Physician in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.