Highland Park Pediatric Associates

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

Legal business name

HIGHLAND PARK PEDIATRIC ASSOCIATES

Doing business as

Highland Park Pediatrics

Practice address

1160 Park Ave W
Suite 3E
Highland Park, IL 60035-2230

Phone

(847) 432-8422

Fax

(847) 432-9480

NPI assigned

May 10, 2007

Last updated

May 15, 2008By 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

Leslie G Levin

Title

Bookkeeping Reception

Phone

(847) 432-8422

Specialties & licenses 1

Addresses

Other names 1

• Highland Park Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1306050943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "SUITE 3E",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352230",
            "telephone_number": "847-432-8422",
            "fax_number": "847-432-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "SUITE 3E",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352230",
            "telephone_number": "847-432-8422",
            "fax_number": "847-432-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BOOKKEEPING RECEPTION",
        "authorized_official_telephone_number": "847-432-8422"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Park Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Hospice and Palliative Medicine Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Pediatric Hospice and Palliative Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.