Pediatric Associates of Palos

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-058696 Issued in IL

Legal business name

PEDIATRIC ASSOCIATES OF PALOS

Practice address

7600 W College Dr
1St Floor
Palos Heights, IL 60463-1001

Phone

(708) 361-6993

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sunita J Ginde, MD

Title

Doctor

Phone

(708) 361-6993

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1649466855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "address_2": "1ST FLOOR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "address_2": "1ST FLOOR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF PALOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "GINDE",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "708-361-6993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-058696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "21609906",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael T. Patricoski, D.D.S.
• Peter A. Patsavas, DDS
• Sheri Lynn Paul, NURSE PRACTITIONER
• Pavletic Pavletic and Vorderer DDS LTD
• Christopher J Pavletic, DDS
• Pediatric Practice Alliance LLC
• Daniella Pedroza
• Marisa Noemi Pellegrini
• Joanna Perez, APRN, CNP
• Peter J. McDonnell M.D. SC

• Specialist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.