NPIMap

Organization Active NPI

Children'S Healthcare Associates P.C.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1295952471
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01632699 Issued in IL
Legal business name
CHILDREN'S HEALTHCARE ASSOCIATES P.C.
Practice address
2835 N Sheffield Ave
501
Chicago, IL 60657-5081
Phone
(773) 348-8300
Fax
(773) 348-7163
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bennett A Kaye, M.D.
Title
Proprietor
Phone
(773) 348-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 01632699 IL Primary

Addresses

Primary practice location

2835 N Sheffield Ave
501
Chicago, IL 60657-5081

Mailing address

2835 N Sheffield Ave
#501
Chicago, IL 60657-5081
Phone (773) 348-8300

Other identifiers 1

IdentifierTypeStateIssuer
01632699OtherILLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220303001987 IL Part B Supplier - Mass Immunization (Roster Biller Only) 2961896113 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

2900 N Ashland Ave
Chicago, IL 60657
Phone (773) 348-8300

2835 N Sheffield Ave
Ste 501
Chicago, IL 60657
Phone (773) 348-8300

1535 Lake Cook Rd
Ste 501
Northbrook, IL 60062

1535 Lake Cook Rd
Ste 101
Northbrook, IL 60062
Phone (847) 205-9900

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295952471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE",
            "address_2": "#501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575081",
            "telephone_number": "773-348-8300",
            "fax_number": "773-348-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE",
            "address_2": "501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575081",
            "telephone_number": "773-348-8300",
            "fax_number": "773-348-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTHCARE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAYE",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "773-348-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "01632699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "01632699",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.