Organization Active NPI

Grove Pediatrics LTD

  • Pediatrics Physician
  • Buffalo Grove, IL
National Provider Identifier
1578745071
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
03605772 Issued in IL
Legal business name
GROVE PEDIATRICS LTD
Practice address
135 N Arlington Heights Rd
Suite 152
Buffalo Grove, IL 60089-8213
Phone
(847) 465-9600
Fax
(847) 465-9601
NPI assigned
Nov 27, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. William D. Rutenberg, M.D.NPI 1972690212
Title
President
Phone
(847) 465-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 03605772 IL Primary

Addresses

Primary practice location

135 N Arlington Heights Rd
Suite 152
Buffalo Grove, IL 60089-8213

Mailing address

135 N Arlington Heights Rd
Suite 152
Buffalo Grove, IL 60089-8213
Phone (847) 465-9600

National Provider Directory

National Provider Directory

Locations

135 N Arlington Heights Rd
Ste 152
Buffalo Grove, IL 60089
Phone (847) 465-9600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1578745071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898213",
            "telephone_number": "847-465-9600",
            "fax_number": "847-465-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898213",
            "telephone_number": "847-465-9600",
            "fax_number": "847-465-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE PEDIATRICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "RUTENBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-465-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "03605772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.