Pediatric & Adolescent Center, S.C.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PEDIATRIC & ADOLESCENT CENTER, S.C.

Practice address

125 E Lake Cook Rd Ste 107
Buffalo Grove, IL 60089-4394

Phone

(847) 459-4420

Fax

(847) 459-9317

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Slavik, M.D.NPI 1740371830

Title

President

Phone

(847) 459-4420

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Slavik, MD

  • Pediatrics Physician
  • Buffalo Grove, IL
  • NPI 1740371830
  NPD (past) Authorized official
• Celina G Miller, MD

  • Pediatrics Physician
  • McHenry, IL
  • NPI 1558410886
  NPD (past)
• Michael S Slavik, DO

  • Pediatrics Physician
  • Buffalo Grove, IL
  • NPI 1437266913
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1346429859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E LAKE COOK RD STE 107",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894394",
            "telephone_number": "847-459-4420",
            "fax_number": "847-459-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E LAKE COOK RD STE 107",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894394",
            "telephone_number": "847-459-4420",
            "fax_number": "847-459-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "SLAVIK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-459-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanislav I Pavlovsky, MD PHD
• Iga Aleksandra Pawlus
• Pdi Medical III LLC
• Boris Peck, D.D.S.
• Jane Pedersen, ED.D.
• Pediatric Dental Associates PC
• Pediatric Dental Associates,PS
• Pediatric Therapy Services LTD
• Kyle Pelkey, M.S., CCC-SLP
• Rafael F. Pena, D.D.S.

• Pediatric Adolescent Medicine Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Pediatric Adolescent Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.