Tots to Teens, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036114318 Issued in IL

Legal business name

TOTS TO TEENS, LLC

Practice address

659 Vernon Ave
Glencoe, IL 60022-1641

Phone

(847) 242-0700

Fax

(847) 574-1600

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kudus K Akinde, MD

Title

Owner

Phone

(847) 242-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glencoe Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1104159599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 VERNON AVE",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221641",
            "telephone_number": "847-242-0700",
            "fax_number": "847-574-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 VERNON AVE",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221641",
            "telephone_number": "847-242-0700",
            "fax_number": "847-574-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTS TO TEENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "AKINDE",
        "authorized_official_first_name": "KUDUS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-242-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036114318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20015369",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glencoe Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Swensen, PSY.D.
• Izabela Szymulanski, OTR/L
• Celso Edward Teixeira, LPC
• The Playroom Pro, Inc.
• Mona Thornton, LCSW
• Amy Elizabeth Troob, NP
• Julia Ann Twomey, PSYD
• Valentina Tychalski
• Village of Glencoe
• Walgreen Co

• All providers in Glencoe, IL
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.