Palos Pediatric Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PALOS PEDIATRIC ASSOCIATES

Practice address

4700 W 95TH St. Ste 301
Oak Lawn, IL 60453

Phone

(708) 424-7601

Fax

(708) 675-1008

NPI assigned

Oct 11, 2012

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mazen Rachid, MDNPI 1972776458

Title

Pediatrician

Phone

(708) 424-7601

Specialties & licenses 2

Addresses

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 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.

• Mazen Rachid, MD

  • Pediatrics Physician
  • Oak Lawn, IL
  • NPI 1972776458
  NPD Authorized official
• Ghiath Al Kassar, M.D

  • Pediatrics Physician
  • Bolingbrook, IL
  • NPI 1396939500
  NPD (past)
• Marlena Sweiss, APN

  • Pediatric Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1154272839
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1093067233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST. STE 301",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-424-7601",
            "fax_number": "708-675-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST. STE 301",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-424-7601",
            "fax_number": "708-675-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "RACHID",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "708-424-7601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036099854",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sreya Pallath, MD
• Amy Elizabeth Palmer, PA-C
• Jordan Palmer
• Ashley Marie Palmieri, APN
• Palos Internists SC (Dr. Satinder Dalawari)
• Palos RX LLC (life pharmacy)
• Mauna Bharat Pandya, MD
• Jessica Panice, CNS
• Valerie Papadopoulos, PHARMD
• Philip Vasilios Papaioannou

• Pediatrics Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.