Hahn Pediatric Group LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HAHN PEDIATRIC GROUP LLC

Practice address

18210 La Grange Rd
Suite 205
Tinley Park, IL 60477-7722

Phone

(708) 478-7800

NPI assigned

May 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyung Hahn, MD

Title

Owner

Phone

(708) 478-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gene Denning, DO

  • Pediatrics Physician
  • Tinley Park, IL
  • NPI 1053319111
  NPD (past)
• Holly Russell, M.D.

  • Pediatrics Physician
  • Tinley Park, IL
  • NPI 1174727267
  NPD (past)
• Katherine Ann Tovatt, DO

  • Pediatrics Physician
  • Tinley Park, IL
  • NPI 1700092574
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003865643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "SUITE 205",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604777722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "SUITE 205",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604777722",
            "telephone_number": "708-478-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAHN PEDIATRIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-478-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "0001623614",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H14 Limited Liability Company
• Aida Haddad, OD
• Janelle Kala Hadley, MD, MPH
• Allyson Haggard
• Heather Hagland, DC
• Hairscripts
• Amanda Halawa-Mahdi, LCSW
• Deanna S Hall, LSW
• Kelly Hallin
• Maurice J Halpin, D.O.

• Pediatrics Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.