Organization Active NPI

Vernon Hills Pediatric Associates

  • Pediatrics Physician
  • Vernon Hills, IL
National Provider Identifier
1518159201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VERNON HILLS PEDIATRIC ASSOCIATES
Practice address
10 W Phillip Rd
Suite 111
Vernon Hills, IL 60061-1799
Phone
(847) 367-5400
Fax
(847) 367-4769
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Susan Granatelli
Title
Practice Administrator
Phone
(847) 367-5400

Specialties & licenses 1

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

Addresses

Primary practice location

10 W Phillip Rd
Suite 111
Vernon Hills, IL 60061-1799

Mailing address

10 W Phillip Rd
Suite 111
Vernon Hills, IL 60061-1799
Phone (847) 367-5400

National Provider Directory

National Provider Directory

Locations

10 W Phillip Rd
Ste 111
Vernon Hills, IL 60061
Phone (847) 367-5400

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": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518159201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD",
            "address_2": "SUITE 111",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611799",
            "telephone_number": "847-367-5400",
            "fax_number": "847-367-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD",
            "address_2": "SUITE 111",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611799",
            "telephone_number": "847-367-5400",
            "fax_number": "847-367-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON HILLS PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRANATELLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-367-5400"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.