Pediagroup Associates, S.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIAGROUP ASSOCIATES, S.C.

Practice address

6300 Roosevelt Rd
Oak Park, IL 60304-2303

Phone

(708) 848-8240

NPI assigned

Jul 4, 2006

Last updated

Aug 22, 2020By 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

Karen WalkerNPI 1053387571

Title

Owner

Phone

(708) 848-8240

Specialties & licenses 1

Addresses

Locations

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.

• Karen Marie Walker, M.D.

  • Pediatrics Physician
  • Oak Park, IL
  • NPI 1053387571
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174553119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042303",
            "telephone_number": "708-848-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIAGROUP ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-848-8240"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Behavioral Health (Autism Care Therapy)
• Peak Behavioral Services (Autism Care Therapy)
• Lisa Pearah
• Walter A Pedemonte, M.D.
• Jenna Pederson
• Pediatrics Unlimited PLLC
• Pedios, LTD.
• Kayla Pedraza, LCPC
• Risa Peets, PHD
• Vanessa Peixoto Honorato, OTR/L

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

• 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.