NPIMap

Organization Active NPI

Next Generation Pediatrics, L.L.C.

  • Pediatrics Physician
  • South Elgin, IL
National Provider Identifier
1760717318
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036104509 Issued in IL
Legal business name
NEXT GENERATION PEDIATRICS, L.L.C.
Practice address
107 S McLean Blvd Ste B
South Elgin, IL 60177-1822
Phone
(847) 695-9900
Fax
(847) 695-9989
NPI assigned
Oct 14, 2009
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Dr. Lawrence Canada, MDNPI 1053961417
Title
Practice Manager
Phone
(847) 695-9900

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 Physician 208000000X 036104509 IL Primary

Addresses

Primary practice location

107 S McLean Blvd Ste B
South Elgin, IL 60177-1822

Mailing address

107 S McLean Blvd Ste B
South Elgin, IL 60177-1822
Phone (847) 695-9900

Other identifiers 1

IdentifierTypeStateIssuer
036104509MedicaidIL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1043186Next Generation Pediatrics LLC107 S McLean Blvd, Suite B, South Elgin, IL 60177Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

101 S McLean Blvd
Ste B
South Elgin, IL 60177

107 S McLean Blvd
Ste B
South Elgin, IL 60177
Phone (847) 695-9900

Practitioners & affiliated clinicians

Practitioners 12

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1760717318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MCLEAN BLVD STE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771822",
            "telephone_number": "847-695-9900",
            "fax_number": "847-695-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MCLEAN BLVD STE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771822",
            "telephone_number": "847-695-9900",
            "fax_number": "847-695-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT GENERATION PEDIATRICS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "CANADA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-695-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036104509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104509",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.