OrganizationActive
Beacon Pace Illinois LLC
NPI 1538991104 · PACE Provider Organization · Crestwood, IL
Beacon Pace Illinois LLC is a PACE Provider Organization organization in Crestwood, IL (NPI 1538991104).
Provider details
- NPI number
- 1538991104
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Michael Czermak, Chief Administrative Officer(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
2 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
5419 135th St
Crestwood, IL 60418-1529
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
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 1538991104, 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 5419 135th St, Crestwood, IL 60418-1529.
- 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 Michael Czermak, Chief Administrative Officer. 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 (1538991104) 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.