Lemont Medical SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LEMONT MEDICAL SC

Practice address

15900 127TH Street
Suite 201
Lemont, IL 60439

Phone

(630) 243-6300

Fax

(630) 243-6336

NPI assigned

Nov 28, 2005

Organization subpart

No

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

Authorized official

Name

Paul Frederic Edelson, MD

Title

President

Phone

(630) 243-6300

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003899741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 127TH STREET",
            "address_2": "SUITE 201",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "630-243-6300",
            "fax_number": "630-243-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 127TH STREET",
            "address_2": "SUITE 201",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "630-243-6300",
            "fax_number": "630-243-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONT MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EDELSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-243-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Lemont, IL
• Providers in Lemont, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.