NPIMap

Organization Active NPI

Pediatric Interactions Inc

  • Speech-Language Pathologist
  • Grayslake, IL
National Provider Identifier
1740404433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC INTERACTIONS INC
Practice address
15 Commerce Dr Ste 116
Grayslake, IL 60030-7807
Phone
(847) 223-7433
Fax
(847) 223-7435
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Sarah Kozak, MA, CCCL
Title
President
Phone
(847) 223-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X IL Primary

Addresses

Primary practice location

15 Commerce Dr Ste 116
Grayslake, IL 60030-7807

Mailing address

15 Commerce Dr Ste 116
Grayslake, IL 60030-7807
Phone (847) 223-7433

Other identifiers 1

IdentifierTypeStateIssuer
04932266OtherILBCBS

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Interactions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Commerce Dr
Ste 116
Grayslake, IL 60030
Phone (847) 223-7433

649 Barron Blvd
Ste 100
Grayslake, IL 60030

665 Ridgeview Dr
McHenry, IL 60050
Phone (815) 759-0329

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740404433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COMMERCE DR STE 116",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307807",
            "telephone_number": "847-223-7433",
            "fax_number": "847-223-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COMMERCE DR STE 116",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307807",
            "telephone_number": "847-223-7433",
            "fax_number": "847-223-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC INTERACTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-223-7433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCCL"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04932266",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, 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.