Active NPI
Ravenswood Pediatrics SC
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1366874356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036065805
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2063465 | Ravenswood Pediatrics | Certificate of waiver | Aug 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.