NPIMap

Organization Active NPI

Kids Pediatrics LTD

  • Pediatrics Physician
  • Wheaton, IL
National Provider Identifier
1326656125
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDS PEDIATRICS LTD
Practice address
288 W Loop Rd
Wheaton, IL 60189-2034
Phone
(630) 868-3620
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Patrice Pash
Title
Director of Client Services
Phone
(815) 995-7066

Specialties & licenses 1

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

Addresses

Primary practice location

288 W Loop Rd
Wheaton, IL 60189-2034

Mailing address

288 W Loop Rd
Wheaton, IL 60189-2034
Phone (630) 868-3620

National Provider Directory

National Provider Directory

Locations

288 W Loop Rd
Wheaton, IL 60189
Phone (630) 868-3620

Practitioners & affiliated clinicians

Practitioners 1

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": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1326656125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 W LOOP RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892034",
            "telephone_number": "630-868-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 W LOOP RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892034",
            "telephone_number": "630-868-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PEDIATRICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "PASH",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "815-995-7066"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.