Organization Active NPI

Pearce Pediatrics LLC

  • Pediatrics Physician
  • Richton Park, IL
National Provider Identifier
1669864815
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036104943 Issued in IL
Legal business name
PEARCE PEDIATRICS LLC
Practice address
4511 Sauk TRL
Richton Park, IL 60471-1167
Phone
(708) 747-6000
Fax
(708) 747-6003
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Dr. Francine Pearce, MD
Title
MD
Phone
(630) 385-2594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036104943 IL Primary

Addresses

Primary practice location

4511 Sauk TRL
Richton Park, IL 60471-1167

Mailing address

PO Box 1033
Yorkville, IL 60560-0896
Phone (630) 385-2594

Other identifiers 1

IdentifierTypeStateIssuer
036104943MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1669864815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1033",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605600896",
            "telephone_number": "630-385-2594",
            "fax_number": "630-385-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711167",
            "telephone_number": "708-747-6000",
            "fax_number": "708-747-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARCE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-385-2594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036104943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104943",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richton Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.