OrganizationActive
Beacon Pace Illinois LLC
NPI 1073345641 · PACE Provider Organization · Calumet City, IL
Beacon Pace Illinois LLC is a PACE Provider Organization organization in Calumet City, IL (NPI 1073345641).
Provider details
- NPI number
- 1073345641
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Micheal Czermak, Cao(855) 801-2653
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 167th St
Calumet City, IL 60409-5458
Phone: (855) 801-2653
Street-level locationGet directions
Mailing address
106 W Moore Ave
Mooresville, NC 28115-3551
Other names (DBA / former)
- Doing business as
- Boldage Pace Illinois
- Doing business as
- Boldage Pace Illinois
Registry dates
- Enumerated
- 2024-08-14
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Frequently asked questions
- What is Beacon Pace Illinois LLC's NPI number?
- Beacon Pace Illinois LLC's National Provider Identifier (NPI) is 1073345641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beacon Pace Illinois LLC?
- Beacon Pace Illinois LLC is classified in the NPPES registry as PACE Provider Organization (Agencies).
- Where is Beacon Pace Illinois LLC located?
- Beacon Pace Illinois LLC's practice location on file with NPPES is 1700 167th St, Calumet City, IL 60409-5458.
- What is Beacon Pace Illinois LLC's phone number?
- The practice phone number listed in the NPPES registry for Beacon Pace Illinois LLC is (855) 801-2653.
- Who is the authorized official for Beacon Pace Illinois LLC?
- The authorized official listed on Beacon Pace Illinois LLC's NPPES record is Micheal Czermak, Cao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beacon Pace Illinois LLC's NPI active?
- Yes — Beacon Pace Illinois LLC's NPI (1073345641) is active in the NPPES registry as of the last update on 2026-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.