Organization Active NPI

Rueda Pediatrics, S.C.

  • Pediatrics Physician
  • Arlington Heights, IL
National Provider Identifier
1255546966
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036091856 Issued in IL
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

Updated by the provider on Jul 5, 2011

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036091856MedicaidIL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.