SW Pediatrics S.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-061568 Issued in IL

Legal business name

SW PEDIATRICS S.C.

Practice address

16622 S. 107TH CT
Orland Park, IL 60467-8898

Phone

(708) 403-2900

Fax

(708) 403-2228

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Anthony C. Delach

Title

President

Phone

(708) 403-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1801823307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16622 S. 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-2900",
            "fax_number": "708-403-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16622 S. 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-2900",
            "fax_number": "708-403-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW PEDIATRICS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "DELACH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-403-2900"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-061568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061568",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Mark Sullivan, D.C.
• Lynn Sulzberger, COTA
• Grace Y Sun, MD
• Daniel E. Surdyk
• Lech Suzanowicz, PTA
• SW Suburban - Midwest Vascular Center, S. C.
• Julie Ann Swan, PT
• Erik A Swenson, MD
• Gulrana Syed, MD
• Rebecca Sylve, M.A. CCC-SLP

• Pediatrics Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.