Organization Active NPI

Seed Pediatrics S.C.

  • Pediatrics Physician
  • Skokie, IL
National Provider Identifier
1417299272
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036127154 Issued in IL
Legal business name
SEED PEDIATRICS S.C.
Practice address
9669 N Kenton Ave Ste 405
Skokie, IL 60076
Phone
(202) 203-0440
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Jonathan Ahn, M.D.NPI 1982868840
Title
Physcian
Phone
(202) 203-0440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036127154 IL Primary

Addresses

Primary practice location

9669 N Kenton Ave Ste 405
Skokie, IL 60076

Mailing address

9669 N Kenton Ave Ste 405
Skokie, IL 60076

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
14D0914440Seed Pediatrics, S C9669 N Kenton Ave - Ste 405, Skokie, IL 60076Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Locations

9669 Kenton Ave
Ste 405
Skokie, IL 60076
Phone (847) 933-0500

Practitioners & affiliated clinicians

Practitioners 2

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": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1417299272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 N KENTON AVE STE 405",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 N KENTON AVE STE 405",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "202-203-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEED PEDIATRICS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "202-203-0440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036127154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.