Organization Active NPI

Northwest Suburban Pediatrics, S.C.

  • Pediatrics Physician
  • Arlington Heights, IL
National Provider Identifier
1518317320
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036075983 Issued in IL
Legal business name
NORTHWEST SUBURBAN PEDIATRICS, S.C.
Practice address
3335 N Arlington Heights Rd Ste C&D
Arlington Heights, IL 60004-1573
Phone
(477) 888-3008
Fax
(477) 888-3068
NPI assigned
Jun 13, 2016
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Dr. Rhonda H. Stein, M.D.NPI 1376553727
Title
Physician
Phone
(847) 788-8300

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 Physician 208000000X 036075983 IL Primary

Addresses

Primary practice location

3335 N Arlington Heights Rd Ste C&D
Arlington Heights, IL 60004-1573

Mailing address

3335 N Arlington Heights Rd Ste C&D
Arlington Heights, IL 60004-1573
Phone (847) 788-8300

Other identifiers 2

IdentifierTypeStateIssuer
1063687978OtherILPHYSICIAN NPI
1376553727OtherILPHYSICIAN NPI

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
14D2075429Northwest Suburban Pediatrics SC3335 N Arlington HTS Rd, Ste C & D, Arlington Heights, IL 60004Certificate of waiverMar 26, 2028

National Provider Directory

National Provider Directory

Locations

3335 N Arlington Heights Rd
Ste C
Arlington Heights, IL 60004
Phone (847) 788-8300

3335 N Arlington Heights Rd
Ste Cd
Arlington Heights, IL 60004
Phone (847) 788-8300

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1518317320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 N ARLINGTON HEIGHTS RD STE C&D",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041573",
            "telephone_number": "847-788-8300",
            "fax_number": "847-788-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 N ARLINGTON HEIGHTS RD STE C&D",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041573",
            "telephone_number": "477-888-3008",
            "fax_number": "477-888-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SUBURBAN PEDIATRICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-788-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036075983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI",
            "identifier": "1063687978",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI",
            "identifier": "1376553727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.