Chicago Pediatric & Neonatology SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036079081 Issued in IL

Legal business name

CHICAGO PEDIATRIC & NEONATOLOGY SC

Practice address

7447 W Talcott Ave Ste 561
Chicago, IL 60631-3716

Phone

(773) 467-8866

Fax

(773) 467-8886

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Halina Aniol, MDNPI 1073605598

Title

MD

Phone

(773) 467-8866

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Halina S Aniol, M.D.

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1073605598
  NPD (past) Authorized official
• Maria Jolanta Nicewicz, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1376745166
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1679748503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 561",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313716",
            "telephone_number": "773-467-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 561",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313716",
            "telephone_number": "773-467-8866",
            "fax_number": "773-467-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PEDIATRIC & NEONATOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "ANIOL",
        "authorized_official_first_name": "HALINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "773-467-8866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036079081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Pain Medicine Center
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• Chicago Pain Medicine Center
• Chicago Pain Medicine Center
• Chicago PCR Lab Services Inc
• Chicago Pediatric Clinic
• Chicago Pediatric Clinic Corp
• Chicago Pediatric Clinic I
• Chicago Pediatric Dentistry and Orthodontics PLLC
• Chicago Pediatric Therapy & Wellness Center, LLC

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.