Chicago Pediatric Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHICAGO PEDIATRIC CLINIC

Practice address

1918 W Irving Park Rd
Chicago, IL 60613-2408

Phone

(773) 477-4900

Fax

(773) 477-4478

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Darlene Egues, M.D.NPI 1700872900

Title

Owner President

Phone

(773) 477-4900

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Chicago Pediatric Clinic2 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.

• Chicago Pediatric Clinic Corp

  • Clinic/Center
  • Chicago, IL
  • NPI 1851573133
  NPD tax ID

Locations

Practitioners 1

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

• Darlene Egues, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1700872900
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780724898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132408",
            "telephone_number": "773-477-4900",
            "fax_number": "773-477-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EGUES",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "773-477-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE HLTH PRTNRS ID",
            "identifier": "201026",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01632128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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 Jul 21, 2022; 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.