NPIMap

Organization Active NPI

Glenview Pediatrics, S.C.

  • Clinic/Center
  • Glenview, IL
National Provider Identifier
1083889166
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
36-080960 Issued in IL
Legal business name
GLENVIEW PEDIATRICS, S.C.
Practice address
1775 Glenview Rd
Suite 113
Glenview, IL 60025-2956
Phone
(847) 724-9300
Fax
(847) 724-9016
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Steven J Goldman, M.D., PH.D.NPI 1508998683
Title
President
Phone
(847) 724-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 36-080960 IL Primary

Addresses

Primary practice location

1775 Glenview Rd
Suite 113
Glenview, IL 60025-2956

Mailing address

1775 Glenview Rd
Suite 113
Glenview, IL 60025-2956
Phone (847) 724-9300

National Provider Directory

National Provider Directory

Locations

1775 Glenview Rd
Ste 113
Glenview, IL 60025
Phone (847) 724-9300

Practitioners & affiliated clinicians

Practitioners 1

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": "1209427200000",
    "number": "1083889166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD",
            "address_2": "SUITE 113",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252956",
            "telephone_number": "847-724-9300",
            "fax_number": "847-724-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD",
            "address_2": "SUITE 113",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252956",
            "telephone_number": "847-724-9300",
            "fax_number": "847-724-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENVIEW PEDIATRICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-724-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "36-080960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.