NPIMap

Organization Active NPI

123 Pediatrics, S.C.

Doing business as 1-2-3 Pediatrics

  • Pediatrics Physician
  • Aurora, IL
National Provider Identifier
1609957018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
123 PEDIATRICS, S.C.
Doing business as
1-2-3 Pediatrics
Practice address
2380 S Eola Rd
Suite 102
Aurora, IL 60503-6489
Phone
(630) 978-7337
Fax
(630) 978-1341
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Lue, M.D.NPI 1043255672
Title
President
Phone
(630) 978-7337

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2380 S Eola Rd
Suite 102
Aurora, IL 60503-6489

Mailing address

2380 S Eola Rd
Suite 102
Aurora, IL 60503-6489
Phone (630) 978-7337

Other names 1

  • 1-2-3 Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

3925 75th St
Ste 105
Aurora, IL 60504
Phone (630) 701-1117

2380 S Eola Rd
Ste 102
Aurora, IL 60503
Phone (630) 978-7337

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609957018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 S EOLA RD",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036489",
            "telephone_number": "630-978-7337",
            "fax_number": "630-978-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 S EOLA RD",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036489",
            "telephone_number": "630-978-7337",
            "fax_number": "630-978-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "123 PEDIATRICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-978-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1-2-3 Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.