NPIMap

Organization Active NPI

Southwest Pediatrics, LTD.

  • Pediatrics Physician
  • Palos Park, IL
National Provider Identifier
1427094416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOUTHWEST PEDIATRICS, LTD.
Practice address
8100 W 119TH St
Palos Park, IL 60464-3041
Phone
(708) 361-3300
Fax
(708) 361-8139
NPI assigned
Jun 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Frederick Harris, M.D.NPI 1508893538
Title
President
Phone
(708) 361-3300

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 IL Primary

Addresses

Primary practice location

8100 W 119TH St
Palos Park, IL 60464-3041

Mailing address

8100 W 119TH St
Palos Park, IL 60464-3041
Phone (708) 361-3300

Other names 1

  • Pediatric Center Other name

National Provider Directory

National Provider Directory

Locations

9400 Bormet Dr
Mokena, IL 60448
Phone (708) 479-7337

9400 Bormet Dr
Ste 4
Mokena, IL 60448
Phone 7083613300 ext. 242

8100 W 119th St
Ste 400
Palos Park, IL 60464
Phone (708) 361-3300

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427094416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 119TH ST",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643041",
            "telephone_number": "708-361-3300",
            "fax_number": "708-361-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W 119TH ST",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643041",
            "telephone_number": "708-361-3300",
            "fax_number": "708-361-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PEDIATRICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-361-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palos Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.