Active NPI
Childrens Medical Center SC
- Sleep Medicine (Internal Medicine) Physician
- Chicago, IL
National Provider Identifier
1578612438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- CHILDRENS MEDICAL CENTER SC
- Practice address
- 1801 W 47TH St
Chicago, IL 60609-3872 - Phone
- (773) 847-9004
- Fax
- (773) 847-9008
- NPI assigned
- Jan 9, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nada Al Dallal, M.D.
- Title
- President
- Phone
- (773) 847-9004
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | IL | Primary | |
| Pediatric Pulmonology Physician | 2080P0214X | IL |
Addresses
Primary practice location
1801 W 47TH St
Chicago, IL 60609-3872
Mailing address
1801 W 47TH St
Chicago, IL 60609-3872
Phone (773) 847-9004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001636919 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9604 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 887-7000
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1346314564
-
- Family Nurse Practitioner
- Hickory Hills, IL
- NPI 1922984509
-
- Hospitalist Physician
- Chicago, IL
- NPI 1205934395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1578612438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W 47TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606093872",
"telephone_number": "773-847-9004",
"fax_number": "773-847-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W 47TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606093872",
"telephone_number": "773-847-9004",
"fax_number": "773-847-9008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS MEDICAL CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DALLAL",
"authorized_official_first_name": "NADA",
"authorized_official_middle_name": "AL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-847-9004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0001636919",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.