Active NPI
Pediatric Medical Services
- Pediatrics Physician
- Skokie, IL
National Provider Identifier
1053535591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC MEDICAL SERVICES
- Practice address
- 9669 Kenton Ave
Ste 403
Skokie, IL 60076-1266 - Phone
- (847) 674-4730
- Fax
- (847) 674-4732
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Suna Yi
- Title
- Office Manager
- Phone
- (847) 674-4730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
9669 Kenton Ave
Ste 403
Skokie, IL 60076-1266
Mailing address
9669 Kenton Ave
Ste 403
Skokie, IL 60076-1266
Phone (847) 674-4730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780644120 | Other | IL | BERNARD HANKIN, NPI# |
| 1255321873 | Other | IL | SUNBUM KIM, NPI# |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0414081 | Pediatric Medical Services SC | Certificate of waiver | Sep 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
9669 Kenton Ave
Ste 403
Skokie, IL 60076
Phone (847) 674-4730
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Skokie, IL
- NPI 1649386889
-
- Pediatrics Physician
- Skokie, IL
- NPI 1255321873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1053535591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9669 KENTON AVE",
"address_2": "STE 403",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761266",
"telephone_number": "847-674-4730",
"fax_number": "847-674-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9669 KENTON AVE",
"address_2": "STE 403",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761266",
"telephone_number": "847-674-4730",
"fax_number": "847-674-4732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "YI",
"authorized_official_first_name": "SUNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "847-674-4730",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BERNARD HANKIN, NPI#",
"identifier": "1780644120",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUNBUM KIM, NPI#",
"identifier": "1255321873",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.