Comprehensive Pediatric Care 1 LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036083262 Issued in IL

Legal business name

COMPREHENSIVE PEDIATRIC CARE 1 LTD

Practice address

1600 167TH St Ste 250
Calumet City, IL 60409-5484

Phone

(708) 891-0089

Fax

(708) 891-0681

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Shahida Tanveer, MDNPI 1427120849

Title

President

Phone

(708) 891-0089

Specialties & licenses 1

Addresses

Other names 1

• comprehensive pediatric care ltd Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Shahida Tanveer, MD

  • Pediatrics Physician
  • Calumet City, IL
  • NPI 1427120849
  NPD Authorized official
• Mohemad Rizwan Khaleel, M.D.

  • Emergency Medicine Physician
  • Calumet City, IL
  • NPI 1265627400
  Medicare reassignment
• Tahseen Anjum Khaleel, MD

  • Pediatrics Physician
  • Lombard, IL
  • NPI 1548849664
  NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1346313160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7388",
            "address_2": "COMPREHENSIVE PEDIATRIC CARE LTD.",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601817388",
            "telephone_number": "708-891-0089",
            "fax_number": "708-891-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 167TH ST STE 250",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095484",
            "telephone_number": "708-891-0089",
            "fax_number": "708-891-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 S Highland Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601487129",
            "country_code": "US",
            "telephone_number": "630-916-1400",
            "fax_number": "708-891-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE PEDIATRIC CARE 1 LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "TANVEER",
        "authorized_official_first_name": "SHAHIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-891-0089",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036083262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comprehensive pediatric care ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eunice K. Clay, COTA/L
• Kim Cobb, MSW, LCSW
• Mary Collins
• Samaro Colvard
• Comprehensive Medical Management Services LTD
• Consolidated Vision Group, Inc.
• Consulting Professionals Inc
• Daniel Contreras, O.D.
• Patrick Cornelius, MS, LCPC, NCC, CADC
• Corpsman Up Foundation

• Pediatrics Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.