NPIMap

Organization Active NPI

Children's Hospital of Wisconsin Clinics-Vernon Hills

  • Pediatric Neurodevelopmental Disabilities Physician
  • Vernon Hills, IL
National Provider Identifier
1053586180
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
Legal business name
CHILDREN'S HOSPITAL OF WISCONSIN CLINICS-VERNON HILLS
Practice address
701 Woodlands Pkwy
Suite 200
Vernon Hills, IL 60061-3101
Phone
(847) 793-5450
NPI assigned
Apr 29, 2008
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S PHYSICIAN GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Dr. Thoms Dunigan, MD
Title
President, Children's Physician GRP
Phone
(414) 266-7615

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X Primary
Pediatric Cardiology Physician 2080P0202X

Addresses

Primary practice location

701 Woodlands Pkwy
Suite 200
Vernon Hills, IL 60061-3101

Mailing address

9000 W Wisconsin Ave
Ms 8000
Milwaukee, WI 53226-4874
Phone (414) 266-7615

Other names 1

  • Children's Physician Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Childrens Physician Group PC8 organizations share this tax ID, including this one
Part of
Childrens Physician Group PC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

701 Woodlands Pkwy
Ste 200
Vernon Hills, IL 60061
Phone (847) 793-5450

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1053586180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "MS 8000",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WOODLANDS PKWY",
            "address_2": "SUITE 200",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613101",
            "telephone_number": "847-793-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF WISCONSIN CLINICS-VERNON HILLS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S PHYSICIAN GROUP",
        "enumeration_date": "2008-04-29",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "DUNIGAN",
        "authorized_official_first_name": "THOMS",
        "authorized_official_title_or_position": "PRESIDENT, CHILDREN'S PHYSICIAN GRP",
        "authorized_official_telephone_number": "414-266-7615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Physician Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.