Austin Street Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-068428 Issued in IL

Legal business name

AUSTIN STREET PEDIATRICS, LLC

Practice address

800 Austin St
Suite 463, East Tower
Evanston, IL 60202-3439

Phone

(847) 475-8711

Fax

(847) 475-2513

NPI assigned

May 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ranulfo Cabrera, M.D.

Title

Owner

Phone

(847) 475-8711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209859200000",
    "number": "1790951317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 463, EAST TOWER",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-475-8711",
            "fax_number": "847-475-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 463, EAST TOWER",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-475-8711",
            "fax_number": "847-475-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN STREET PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-05-04",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "RANULFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-475-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-068428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Au, MD, MPH
• Alice Aubel, APN-CNP
• Chatchanan Ausavarungnirun, MD, PHD
• Alex John Auseon, DO
• Austin Anesthesia LLC
• Candace Francene Austin, M.ED
• Jade Marie Austin, MA
• Autism Hope Support
• Autism Services of the North Shore, Inc.
• Jennifer Aversano, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; 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.