Active NPI
Kid Care Doctors
- Pediatrics Physician
- Cicero, IL
National Provider Identifier
1043535248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- KID CARE DOCTORS
- Doing business as
- Kid Care Pediatrics
- Practice address
- 2240 S Cicero Ave
Cicero, IL 60804-2411 - Phone
- (708) 222-9170
- Fax
- (708) 222-9173
- NPI assigned
- Mar 30, 2010
- Organization subpart
- Yes
- Parent organization
- KID CARE PEDIATRICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Micheal Peters
- Title
- Cfo
- Phone
- (312) 274-0498
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2240 S Cicero Ave
Cicero, IL 60804-2411
Mailing address
2254 S Cicero Ave
Cicero, IL 60804-2411
Phone (773) 222-9170
Other names 1
- Kid Care Pediatrics
National Provider Directory
National Provider Directory- Part of
- Kid Care Doctors
Locations
2254 S Cicero Ave
Cicero, IL 60804
Phone (708) 656-2222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1043535248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2254 S CICERO AVE",
"city": "CICERO",
"state": "IL",
"postal_code": "608042411",
"telephone_number": "773-222-9170",
"fax_number": "708-222-9173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 S CICERO AVE",
"city": "CICERO",
"state": "IL",
"postal_code": "608042411",
"telephone_number": "708-222-9170",
"fax_number": "708-222-9173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KID CARE DOCTORS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KID CARE PEDIATRICS",
"enumeration_date": "2010-03-30",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "MICHEAL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "312-274-0498"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kid Care Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.