Organization Active NPI

All About Kids Pediatrics, S.C.

  • Pediatrics Physician
  • Naperville, IL
National Provider Identifier
1053631879
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-083727 Issued in IL
Legal business name
ALL ABOUT KIDS PEDIATRICS, S.C.
Practice address
100 Spalding Dr
Suite 206
Naperville, IL 60540-6550
Phone
(630) 355-6996
Fax
(630) 355-0026
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Emilie Nietert
Title
Office Manager
Phone
(630) 355-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-083727 IL Primary

Addresses

Primary practice location

100 Spalding Dr
Suite 206
Naperville, IL 60540-6550

Mailing address

100 Spalding Dr
Suite 206
Naperville, IL 60540-6550
Phone (630) 355-6996

Other identifiers 1

IdentifierTypeStateIssuer
03000694MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1053631879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR",
            "address_2": "SUITE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406550",
            "telephone_number": "630-355-6996",
            "fax_number": "630-355-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR",
            "address_2": "SUITE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406550",
            "telephone_number": "630-355-6996",
            "fax_number": "630-355-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT KIDS PEDIATRICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "NIETERT",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-355-6996"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-083727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03000694",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.