DR. PETER F MACENTEE


Address: 10627 S Pulaski Rd, Chicago, IL 60655-3827
Phone: 7737799300

DR. PETER F MACENTEE (NPI# 1417045501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417045501
Entity Type Individual
Full Name DR. PETER F MACENTEE
Credential M.D.
Practice Address 10627 S Pulaski Rd
Chicago
IL 60655-3827
Practice Telephone 7737799300
Practice Fax Number 7737795768
Mailing Telephone (773) 779-9300
Mailing Fax Number 7737795768
Enumeration Date 2006-10-11
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine LL777 FL Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 036047977 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036047977 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2355 Stanford Ct Unit 701, Naples, FL 341124813 2395667425 2395933430

Office Location

Street Address 10627 S PULASKI RD
City CHICAGO
State IL
Zip Code 60655-3827

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700974821 Timothy E Knox Family Medicine 10627 S Pulaski Rd, Chicago, IL 60655-3827 2006-10-11
1275729303 Macentee Knox & Vargas Mds Preferred Provider Organization 10627 S Pulaski Rd, Chicago, IL 60655-3827 2007-09-21
1467540567 Rafael J Vargas-zapata Family Medicine 10627 S Pulaski Rd, Chicago, IL 60655-3827 2006-10-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629632401 Hillary Woodward Carroll Nurse Practitioner 3258 W 111th Chicago, Il, Chicago, IL 60655 2019-04-26
1679029995 Meghan Robbins Pharmacy Technician 10428 S. Springfield, Chicago, IL 60655 2016-08-28
1356700728 Molly Samansky Speech-Language Pathologist 2549 W 106thh Pl, Chicago, IL 60655 2016-02-15
1134533615 Axis Physical Medicine Physical Therapist 11005 S Kedzie Ave, Chicago, IL 60655 2014-06-12
1821439738 Mercy Circle Skilled Nursing Facility 3659 W. 99th Street, Chicago, IL 60655 2013-07-09
1962772921 E.m. Branch and Associates, Inc Social Worker 3139 W. 111th Street, Chicago, IL 60655 2012-01-09
1922377951 Patricia Murphy Counselor 10435 Kedzie Ave, Chicago, IL 60655 2011-12-20
1346518891 Kelly Diana Koch Occupational Therapist 11143 S. Troy, Chicago, IL 60655 2011-12-12
1265678544 Lawrence Michael Furlan Dentist 10900 S Kedzie, Chicago, IL 60655 2008-12-17
1710122361 Athletico, Ltd Physical Therapist 3644 W. 111th Street, Chicago, IL 60655 2008-12-11
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053911495 Moataz Barkat Family Medicine 3315 W 66th Pl, Chicago, IL 60629-3427 2020-10-26
1558976589 Jasmine Ashley Fowler Family Medicine 2416 N Lotus Ave, Chicago, IL 60639-1435 2020-09-15
1720699176 Healing Hands Resource Center Streator Family Medicine 2128 S Central Park Ave, Chicago, IL 60623-3113 2020-08-10
1285251892 Soe Lwin Oo Family Medicine 1625 E 75th St # 1, Chicago, IL 60649-3603 2020-06-30
1124645700 Timothy Alan Williams Jr. Family Medicine 1625 E 75th St Fl 1, Chicago, IL 60649-3603 2020-06-30
1194340026 Kaysha Lynne Ribao Family Medicine 2116 S Springfield Ave, Chicago, IL 60623-2465 2020-06-16
1932724341 Toni Kurian Family Medicine 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 2020-06-11
1528689486 Thurman J Robertson Family Medicine 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 2020-05-01
1629697297 Lyndsey Danielle Johnson Family Medicine 2804 W Walton St, Chicago, IL 60622-4450 2020-04-13
1730708884 Iruoma Genevieve Nwangwu Family Medicine 1950 W Polk Street, Chicago, IL 60612-3714 2020-04-09
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Competitor

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City CHICAGO
Zip Code 60655

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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