Organization Active NPI

Ravenswood Pediatrics SC

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1366874356
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036065805 Issued in IL
Legal business name
RAVENSWOOD PEDIATRICS SC
Practice address
1945 W Wilson Ave Ste 6116
Chicago, IL 60640
Phone
(872) 208-6257
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Todd J Ochs, M.D.
Title
Owner
Phone
(872) 208-6257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036065805 IL Primary

Addresses

Primary practice location

1945 W Wilson Ave Ste 6116
Chicago, IL 60640

Mailing address

1945 W Wilson Ave Ste 6116
Chicago, IL 60640-5259
Phone (872) 208-6257

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
14D2063465Ravenswood Pediatrics1945 W Wilson Ave, Ste 6116, Chicago, IL 60640Certificate of waiverAug 1, 2027

National Provider Directory

National Provider Directory

Locations

1945 W Wilson Ave
Ste 6110
Chicago, IL 60640
Phone (872) 208-6257

227 E Chicago Ave
Chicago, IL 60611

2101 Oxford Rd
Des Plaines, IL 60018
Phone (630) 548-4501

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1366874356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE STE 6116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405259",
            "telephone_number": "872-208-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE STE 6116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "872-208-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENSWOOD PEDIATRICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "OCHS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-208-6257",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036065805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.