Active NPI
Rueda Pediatrics, S.C.
- Pediatrics Physician
- Arlington Heights, IL
National Provider Identifier
1255546966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036091856
- Legal business name
- RUEDA PEDIATRICS, S.C.
- Practice address
- 1746 W Algonquin Rd
Arlington Heights, IL 60005-3405 - Phone
- (847) 331-1534
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis E Rueda, M.D.
- Title
- President
- Phone
- (630) 424-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036091856 | IL | Primary |
Addresses
Primary practice location
1746 W Algonquin Rd
Arlington Heights, IL 60005-3405
Mailing address
1746 W Algonquin Rd
Arlington Heights, IL 60005-3405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036091856 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309824000000",
"number": "1255546966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 W ALGONQUIN RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1746 W ALGONQUIN RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053405",
"telephone_number": "847-331-1534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUEDA PEDIATRICS, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2011-07-05",
"status": "A",
"authorized_official_last_name": "RUEDA",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-424-1122",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": "036091856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036091856",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.