Organization Active NPI

Aurora Pediatric Clinic SC

  • Pediatrics Physician
  • Aurora, IL
National Provider Identifier
1306829353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36045223 Issued in IL
Legal business name
AURORA PEDIATRIC CLINIC SC
Practice address
1300 N Highland Ave
Ste 4
Aurora, IL 60506-1451
Phone
(630) 896-7788
Fax
(630) 896-7794
NPI assigned
Nov 23, 2005
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. Crispin Hao, MDNPI 1689647349
Title
Pediatrician
Phone
(630) 896-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 36045223 IL Primary

Addresses

Primary practice location

1300 N Highland Ave
Ste 4
Aurora, IL 60506-1451

Mailing address

1300 N Highland Ave
Ste 4
Aurora, IL 60506-1451
Phone (630) 896-7788

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0420789Aurora Pediatric Clinic S C1300 N Highland Ave- Ste 6, Aurora, IL 60506Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

1300 N Highland Ave
Aurora, IL 60506
Phone (630) 301-7595

1300 N Highland Ave
Ste 6
Aurora, IL 60506
Phone (630) 896-4624

1300 N Highland Ave
Ste 4
Aurora, IL 60506
Phone (630) 896-7788

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306829353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE",
            "address_2": "STE 4",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061451",
            "telephone_number": "630-896-7788",
            "fax_number": "630-896-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE",
            "address_2": "STE 4",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061451",
            "telephone_number": "630-896-7788",
            "fax_number": "630-896-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PEDIATRIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAO",
        "authorized_official_first_name": "CRISPIN",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "630-896-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "36045223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.