Pediatric Cardiology Associates of Northern Illinois SC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

042616967 Issued in IL

Legal business name

PEDIATRIC CARDIOLOGY ASSOCIATES OF NORTHERN ILLINOIS SC

Practice address

5701 Strathmoor Dr
Suite 1
Rockford, IL 61107-5182

Phone

(815) 227-5600

Fax

(815) 227-9242

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alfred R Huyoung, MD

Title

Owner/Physician

Phone

(815) 227-5600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1164508933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 STRATHMOOR DR",
            "address_2": "SUITE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075182",
            "telephone_number": "815-227-5600",
            "fax_number": "815-227-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 STRATHMOOR DR",
            "address_2": "SUITE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075182",
            "telephone_number": "815-227-5600",
            "fax_number": "815-227-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY ASSOCIATES OF NORTHERN ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "HUYOUNG",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "815-227-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "042616967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Barrett Peck, P.T.
• Jason Andrew Peckels, M.S.ED., L.P.C.
• Prakash Pedapati
• Christine M Pedersen, MSPT
• Pediatric Associates of Rockford
• Pediatric Dentistry of Northern Illinois LTD
• Pediatrix Medical Group of Illinois PC
• Anastasia Peer-Drake
• Kevin J Peifer, M.D.
• Pilar Romsos Peigh, MA, CCC/SLP

• Legal Medicine in Rockford, IL
• Providers in Rockford, IL by specialty
• Legal Medicine in Illinois

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