Pediatric Associates SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036037561 Issued in IL

Legal business name

PEDIATRIC ASSOCIATES SC

Practice address

2011 East 75TH Street
Suite 101
Chicago, IL 60649-3646

Phone

(773) 288-4824

Fax

(773) 288-3995

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Billie Wright Adams, MDNPI 1548246820

Title

Primary Care Physician

Phone

(773) 288-4824

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Billie Adams, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1548246820
  NPD (past) Authorized official

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1043498041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 EAST 75TH STREET",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493646",
            "telephone_number": "773-288-4824",
            "fax_number": "773-288-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 EAST 75TH STREET",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493646",
            "telephone_number": "773-288-4824",
            "fax_number": "773-288-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "PRIMARY CARE PHYSICIAN",
        "authorized_official_telephone_number": "773-288-4824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036037561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Maciel Pederson, APN
• Renee Pederson, CRNA
• Nicholas Pederzolli
• Pediasource Therapy Specialists
• Pediatric Anesthesia Associates, LTD
• Pediatric Center of Chicago
• Pediatric Clinic LTD.
• Pediatric Dental Health Associates, LTD.
• Pediatric Dental Surgical Associates PLLC
• Pediatric Developmental Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.