Active NPI
Advanced Pediatric and Neonatal Medicine, SC
- Pediatrics Physician
- Bloomingdale, IL
National Provider Identifier
1578912457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036108289
- Legal business name
- ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC
- Practice address
- 473 W Army Trail Rd
Ste 103
Bloomingdale, IL 60108-2674 - Phone
- (630) 529-6969
- Fax
- (630) 529-5993
- NPI assigned
- Jun 10, 2016
- 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. Sang Jo Han, M.D.
- Title
- President
- Phone
- (630) 529-6969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036108289 | IL | Primary |
Addresses
Primary practice location
473 W Army Trail Rd
Ste 103
Bloomingdale, IL 60108-2674
Mailing address
473 W Army Trail Rd
Ste 103
Bloomingdale, IL 60108-2674
Phone (630) 529-6969
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Pediatric and Neonatal Medicine SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neonatal-Perinatal Medicine Physician
- Bloomingdale, IL
- NPI 1093037673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465516800000",
"number": "1578912457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 W ARMY TRAIL RD",
"address_2": "STE 103",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082674",
"telephone_number": "630-529-6969",
"fax_number": "630-529-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 W ARMY TRAIL RD",
"address_2": "STE 103",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082674",
"telephone_number": "630-529-6969",
"fax_number": "630-529-5993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A",
"authorized_official_last_name": "HAN",
"authorized_official_first_name": "SANG",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-529-6969",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": "036108289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
- Advance Clinical Lab Inc
- Advance Medical LLC
- Advance Psychiatry & Counseling, SC.
- Advanced Clinical Laboratory Inc
- Advanced Pediatric and Neonatal Medicine, SC
- Adventist Glenoaks Hospital (UChicago Medicine AdventHealth Allergy & Asthma at Bloomingdale)
- Adventist Health Partners, Inc (Glenoaks Women's Healthcare)
- Adventist Health Partners, Inc (DuPage Orthopedics)
- Adventist Health Partners, Inc (DuPage Center for Surgery and Breast Health)
- Adventist Health Partners, Inc. (GlenOaks G.I.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.