Organization Active NPI

Pediatric Health Care Associates, S.C.

  • Primary Care Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1053434688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PEDIATRIC HEALTH CARE ASSOCIATES, S.C.
Practice address
1640 N Arlington Heights Rd
Suite 101
Arlington Heights, IL 60004-3985
Phone
(847) 577-8272
Fax
(847) 577-2149
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elchanan Golan, M.D.
Title
Secretary
Phone
(847) 577-8272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X IL Primary

Addresses

Primary practice location

1640 N Arlington Heights Rd
Suite 101
Arlington Heights, IL 60004-3985

Mailing address

1640 N Arlington Heights Rd
Suite 101
Arlington Heights, IL 60004-3985
Phone (847) 577-8272

National Provider Directory

National Provider Directory

Locations

1640 N Arlington Heights Rd
Ste 101
Arlington Heights, IL 60004
Phone (224) 232-8910

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053434688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043985",
            "telephone_number": "847-577-8272",
            "fax_number": "847-577-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043985",
            "telephone_number": "847-577-8272",
            "fax_number": "847-577-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH CARE ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLAN",
        "authorized_official_first_name": "ELCHANAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "847-577-8272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • 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.