NPIMap

Organization Active NPI

Kidz Health P.C.

  • Health Service Clinic/Center
  • Chicago, IL
National Provider Identifier
1104943406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KIDZ HEALTH P.C.
Practice address
4655 North Elston Ave
Chicago, IL 60630-2103
Phone
(773) 685-3288
Fax
(773) 685-7485
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kamala Arabolu Ghaey, M.D.NPI 1720194889
Title
Director
Phone
(773) 685-3288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X IL Primary

Addresses

Primary practice location

4655 North Elston Ave
Chicago, IL 60630-2103

Mailing address

4655 North Elston Avenue
Chicago, IA 60630-2103
Phone (773) 685-3288

National Provider Directory

National Provider Directory

Locations

4655 N Elston Ave
Chicago, IL 60630
Phone (773) 685-3288

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104943406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 NORTH ELSTON AVENUE",
            "city": "CHICAGO",
            "state": "IA",
            "postal_code": "606302103",
            "telephone_number": "773-685-3288",
            "fax_number": "773-685-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 NORTH ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302103",
            "telephone_number": "773-685-3288",
            "fax_number": "773-685-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHAEY",
        "authorized_official_first_name": "KAMALA",
        "authorized_official_middle_name": "ARABOLU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-685-3288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.