South Loop Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

24800 Issued in IL

Legal business name

SOUTH LOOP PEDIATRICS, LLC

Practice address

2329 S Michigan Ave
Chicago, IL 60616-2104

Phone

(312) 265-1244

Fax

(312) 265-1174

NPI assigned

Jun 19, 2018

Last updated

May 18, 2021By 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

Dr. Kimberly Therese Brown, MDNPI 1093928285

Title

Physician/Owner

Phone

(312) 265-1244

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.

• Kimberly Therese Brown, M.D.

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1093928285

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1285128561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162104",
            "telephone_number": "312-265-1244",
            "fax_number": "312-265-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162104",
            "telephone_number": "312-265-1244",
            "fax_number": "312-265-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LOOP PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "312-265-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "24800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Loop Endoscopy and Wellness Center LLC
• South Loop Integrated Physicians LTD
• South Loop Living & Rehab Center LLC (Warren Barr South Loop)
• South Loop Massage LLC
• South Loop Pediatric Therapy LLC
• South Loop Primary and Urgent Care, LLC
• South Loop Skilled Nursing Facility LLC (Warren Barr South Loop)
• South Loop Urgent Care, LLC
• South Pulaski Surgical, LTD
• South Shore Cardiology Group Inc

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.