Partners in Children's Health,S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036064091 Issued in IL

Legal business name

PARTNERS IN CHILDREN'S HEALTH,S.C.

Practice address

2550 Hauser Ross Dr
Suite #350
Sycamore, IL 60178-3149

Phone

(815) 754-5010

NPI assigned

May 2, 2008

Last updated

May 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pushpa K Mamtani, M.D

Title

President

Phone

(815) 754-5010

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1013183706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DR",
            "address_2": "SUITE #350",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783149",
            "telephone_number": "815-754-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DR",
            "address_2": "SUITE #350",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783149",
            "telephone_number": "815-754-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN CHILDREN'S HEALTH,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MAMTANI",
        "authorized_official_first_name": "PUSHPA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-754-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036064091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064091",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376527168",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osf Multi-Specialty Group (OSF OnCall Urgent Care)
• Chimdiya Concilia Osisioma, APRN
• Jennifer Jo Pacaccio, D.P.M.
• Brittany Pagan-Male, LCSW, CADC, DVPC
• Ashlee Panozzo, RN
• Passion for Living Counseling Services LLC
• Bhavisha Patel, M.D.
• Ilaxi Patel, D.O.
• Kalpit R Patel, PHARM. D.
• Pramod N Patel, DPM

• Primary Care Clinic/Center in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.