Bolingbrook Pediatrics, SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036090470 Issued in IL

Legal business name

BOLINGBROOK PEDIATRICS, SC

Practice address

439 W Boughton Rd
Bolingbrook, IL 60440-1821

Phone

(630) 759-5000

Fax

(630) 759-4567

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paramjeet Kaur Singh, MDNPI 1306991617

Title

President

Phone

(630) 759-5000

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paramjeet Kaur Singh, MD

  • Pediatrics Physician
  • Bolingbrook, IL
  • NPI 1306991617
  NPD (past) Authorized official
• Jasmin Buthman, APRN

  • Family Nurse Practitioner
  • West Dundee, IL
  • NPI 1730713686
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1073794756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401821",
            "telephone_number": "630-759-5000",
            "fax_number": "630-759-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401821",
            "telephone_number": "630-759-5000",
            "fax_number": "630-759-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLINGBROOK PEDIATRICS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PARAMJEET",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-759-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036090470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090470",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bolingbrook Foot & Ankle Center, P.C.
• Bolingbrook Foot Specialists LTD
• Bolingbrook Healthcare Associates S.C.
• Bolingbrook Home Health LLC
• Bolingbrook Memory Care, LLC (Autumn Leaves of Bolingbrook)
• Bolingbrook Pharmacy Inc
• Bolingbrook Taxi and Limousine Co
• Bolingbrook Urgent Care LLC
• Bolingbrook Vision Source Inc.
• Bolingbrook Wellness

• Primary Care Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.

Verify at the official NPI Registry.