Pediatrics & Dermatology SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PEDIATRICS & DERMATOLOGY SC

Practice address

6211 N Milwaukee Ave
Chicago, IL 60646-3730

Phone

(773) 774-6677

Fax

(773) 774-3322

NPI assigned

May 26, 2006

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miroslawa Alina Dulczewska Miller, MD PHDNPI 1013963537

Title

Ceo

Phone

(773) 774-6677

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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.

• Miroslawa Alina Dulczewska Miller, MD PHD

  • Legal Medicine
  • Chicago, IL
  • NPI 1013963537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1437105947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463730",
            "telephone_number": "773-774-6677",
            "fax_number": "773-774-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463730",
            "telephone_number": "773-774-6677",
            "fax_number": "773-774-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS & DERMATOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "DULCZEWSKA MILLER",
        "authorized_official_first_name": "MIROSLAWA",
        "authorized_official_middle_name": "ALINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-774-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Therapy Connections, Inc
• Pediatric Therapy Group
• Pediatric Therapy Network
• Pediatric Therapy Solutions, Inc.
• Pediatricare
• Claudia Pedraza Leon
• James Pedraza Jr.
• Carlos Frank Pedrera, MD
• Pedro Lopez, M.D., LTD
• Stephanie E Pedroza, PA-C

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.