1. Home
  2. Directory
  3. Illinois
  4. Glenview
  5. Family Medicine
  6. NPI Profile

PIONEER CONCIERGE MEDICINE, PLLC
NPI 1417676891
Family Medicine in Glenview, IL

Active since August 26, 2022CLIA 14D2270415 · Waiver
3633 W LAKE AVE STE 108, GLENVIEW, IL 60026(847) 510-2805(847) 510-2806 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2022, Aug 26, 2022 (2 updates tracked since 2022).

About Pioneer Concierge Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIONEER CONCIERGE MEDICINE, PLLC (NPI 1417676891) is a healthcare organization registered as a family medicine in Glenview, Illinois and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Anish Pravin Pithadia, Cmo, as its authorized official.

NPPES Registry Identity

NPI1417676891
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIONEER CONCIERGE MEDICINE, PLLC
Location Address3633 W LAKE AVE STE 108Glenview, IL 60026-5801
Mailing Address3633 W Lake Ave Ste 108Glenview, IL 60026-5801 · (847) 510-2805 · Fax (847) 510-2806
Phone(847) 510-2805
Fax(847) 510-2806
Organization SubpartNo
Authorized OfficialAnish Pravin PithadiaCmo · (847) 510-2805
Enumeration DateAugust 26, 2022
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1417676891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
3633 W LAKE AVE STE 108, Glenview, IL 60026
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2270415

Pioneer Concierge Medicine, PLLC · Glenview, IL
Active · expires Oct 13, 2026
CLIA Number14D2270415
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorMark A. Stefaniuk
Laboratory Phone(847) 510-2805
Laboratory LocationPioneer Concierge Medicine, PLLC3633 W Lake Ave - Ste 108, Glenview, IL 60026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK A STEFANIUK M.D.
Family Medicine
3633 W LAKE AVE STE 108
GLENVIEW, IL 60026
Cook County (847) 510-2805
DR. ANISH PRAVIN PITHADIA M.D.
Family Medicine
3633 W LAKE AVE STE 108
GLENVIEW, IL 60026
Cook County (847) 510-2805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pioneer Concierge Medicine, PLLC's NPI number?

The NPI number for Pioneer Concierge Medicine, PLLC is 1417676891. It was assigned to this organization in the NPPES registry on August 26, 2022.

Where is Pioneer Concierge Medicine, PLLC located?

Pioneer Concierge Medicine, PLLC is located at 3633 W Lake Ave Ste 108, Glenview, IL 60026. The listed phone number is (847) 510-2805.

What is Pioneer Concierge Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pioneer Concierge Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2270415) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pioneer Concierge Medicine, PLLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.