Active NPI
The Pulmonary Clinic for Children SC
- Pediatric Pulmonology Physician
- Naperville, IL
National Provider Identifier
1609822154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- Legal business name
- THE PULMONARY CLINIC FOR CHILDREN SC
- Practice address
- 801 S Washington St
Naperville, IL 60540-7430 - Phone
- (630) 527-7325
- NPI assigned
- May 26, 2006
- 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
- Girish Sharma, MD
- Title
- Owner / Physician
- Phone
- (630) 527-7325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | Primary |
Addresses
Primary practice location
801 S Washington St
Naperville, IL 60540-7430
Mailing address
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-7325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092074 | Medicaid | IL | |
| 0002232208 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229299200000",
"number": "1609822154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S WASHINGTON ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407430",
"telephone_number": "630-527-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S WASHINGTON ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407430",
"telephone_number": "630-527-7325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PULMONARY CLINIC FOR CHILDREN SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2008-12-15",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "GIRISH",
"authorized_official_title_or_position": "OWNER / PHYSICIAN",
"authorized_official_telephone_number": "630-527-7325",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092074",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0002232208",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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- The Sports Medicine & Rehabilitation Institute P.C.
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- The Wright Center for Women'S Health
- Samantha Thein, LSA, CADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.