OrganizationActive
Gustavo a . Pedraza M.D., Ltd
NPI 1134451594 · Primary Care Clinic/Center · Channahon, IL
Provider details
- NPI number
- 1134451594
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gustavo Pedraza, President(815) 467-4114
- License
- 036076520 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs 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
23952 S Northern Illinois Dr
Channahon, IL 60410-5184
Phone: (815) 467-4114
Fax: (815) 467-1774
Street-level locationGet directions
Mailing address
23952 S Northern Illinois Dr
Channahon, IL 60410-5184
Registry dates
- Enumerated
- 2010-02-09
- Last updated
- 2010-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.